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Organization

MOONTOWER WELLNESS, LLC

Active
Other names
Moontower Mental Wellness, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM COLEMAN WEATHERBY DO (MEMBER/MANAGER)
(512) 522-7708
Entity
Organization

Contact information

Practice address
11705 AIRPORT WAY STE 205, BROOMFIELD, CO 80021-2710
(512) 522-7708
Mailing address
11705 AIRPORT WAY STE 205, BROOMFIELD, CO 80021-2710
(512) 522-7708
(512) 233-0824

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N6094
TX

Other

Enumeration date
04/16/2012
Last updated
05/09/2024
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