Individual
PATRICK GREGG WEAKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
214 5TH ST, WINDSOR, CO 80550-5109
(970) 686-5544
(970) 686-6872
Mailing address
214 5TH ST, WINDSOR, CO 80550-5109
(970) 686-5544
(970) 686-6872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6655
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
766625
UNITED CONCORDIA
CO
Enumeration date
07/19/2006
Last updated
07/08/2007
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