Organization
COLORADO UROLOGY CLINIC, PC
Active
Organization
COLORADO UROLOGY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY L WEISS DO (OWNER/PRESIDENT)
(303) 388-9321
Entity
Organization
Contact information
Practice address
9141 GRANT ST, SUITE 245, THORNTON, CO 80229-4374
(303) 388-9321
(303) 388-3910
Mailing address
871 THORNTON PARKWAY, SUITE 256, THOMTON, CO 80229-3681
(303) 388-9321
(303) 388-3910
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59721723
—
CO
Enumeration date
08/24/2017
Last updated
10/24/2019
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