Individual
SPENCER WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
569 32 RD STE 12, GRAND JUNCTION, CO 81504-6095
(970) 523-3544
(970) 434-3422
Mailing address
2303 S TOWNSEND AVE STE A, MONTROSE, CO 81401-5452
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0005529
CO
207Q00000X
Family Medicine Physician
10434311-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005529
STATE LICENSE
CO
Enumeration date
07/12/2017
Last updated
11/25/2024
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