Individual
ZAK H WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10 BENTHAVEN PL, BOULDER, CO 80305-6252
(806) 341-4508
Mailing address
10 BENTHAVEN PL, BOULDER, CO 80305-6252
(806) 341-4508
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1658
TX
213E00000X
Podiatrist
Primary
622
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165296803
—
TX
05
—
96704233
—
CO
01
—
P01693987
RAILROAD MEDICARE
CO
Enumeration date
08/01/2006
Last updated
10/05/2016
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