Individual
JACOB OKIE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(877) 999-0538
Mailing address
3055 ROSLYN ST, DENVER, CO 80238-3323
(303) 602-4531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL.0009202
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2022
Last updated
05/23/2025
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