Individual
TIRZAH WETHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL0007504
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
DR.0065034
CO
Other
Enumeration date
05/30/2019
Last updated
08/11/2023
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