Individual
BRUCE J WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9141 GRANT ST STE 140, THORNTON, CO 80229-4367
(303) 252-0100
(303) 252-0127
Mailing address
9141 GRANT ST, SUITE 140, THORNTON, CO 80229-4374
(303) 252-0100
(303) 252-0127
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
23073
CO
207RG0100X
Gastroenterology Physician
Primary
23073
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01230739
—
CO
Enumeration date
12/08/2005
Last updated
04/01/2013
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