Organization
ROCKY MOUNTAIN PEDIATRICS PC
Active
Organization
ROCKY MOUNTAIN PEDIATRICS PC
Active
Other names
Maryethel Meyer MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDRA B WEISS MD (PRESIDENT)
(303) 233-8701
Entity
Organization
Contact information
Practice address
2020 WADSWORTH BLVD, SUITE 16, LAKEWOOD, CO 80214-5730
(303) 233-8701
(303) 233-2850
Mailing address
2020 WADSWORTH BLVD, SUITE 16, LAKEWOOD, CO 80214-5730
(303) 233-8701
(303) 233-2850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04001855
—
CO
Enumeration date
08/25/2005
Last updated
12/06/2007
Update your record
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