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Individual

BRIAN KEITH WEGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8585 W 14TH AVE, SUITE B2, LAKEWOOD, CO 80215-4857
(303) 238-1201
(303) 238-2981
Mailing address
8585 W 14TH AVE, SUITE B2, LAKEWOOD, CO 80215-4857
(303) 238-1201
(303) 238-2981

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43117
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04020541
MEDICAID GROUP #
CO
01
1215981634
GROUP NPI #
CO
01
1649259508
NPI #
CO
01
2591992
CIGNA
CO
01
513142
MEDICARE GROUP NUMBER
CO
05
56339763
CO
01
7989592
AETNA
CO
01
841365302044
RKY MTN HMO
CO
01
84136530247
PACIFICARE
CO
01
P00381353
RAILROAD MEDICARE
01
RO103008
GROUP ANTHEM BCBS
CT
01
WE671478
ANTHEM BCBS
CO
Enumeration date
01/10/2006
Last updated
08/24/2016
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