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Individual

RUSSELL JAMES WEISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 E 19TH AVE, SUITE 3050, DENVER, CO 80218-1216
(303) 320-1227
(303) 320-1235
Mailing address
1601 E 19TH AVE, SUITE 3050, DENVER, CO 80218-1216
(303) 320-1227
(303) 320-1235

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CO24118
CO
207V00000X
Obstetrics & Gynecology Physician
ME92330
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01241181
CO
Enumeration date
02/28/2006
Last updated
04/09/2013
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