Organization
DAN E. WEITZENKORN
Active
Other names
Roaring Fork Eye Clinic, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN E. WEITZENKORN M.D. (PRESIDENT)
(970) 945-5444
Entity
Organization
Contact information
Practice address
2520 GRAND AVE STE 112, GLENWOOD SPRINGS, CO 81601-4195
(970) 945-5444
(970) 945-6070
Mailing address
2520 GRAND AVE STE 112, GLENWOOD SPRINGS, CO 81601-4195
(970) 945-5444
(970) 945-6070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274653
—
CO
Enumeration date
01/10/2007
Last updated
05/18/2011
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