Organization
PETER L. WEINGARTEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAYLA DAWN CLARK NCMA (MEDICAL/PERSONAL ASSISTANT)
(303) 671-2122
Entity
Organization
Contact information
Practice address
1411 S POTOMAC ST STE 400, AURORA, CO 80012-4540
(303) 671-2122
(303) 671-2122
Mailing address
1411 S POTOMAC ST STE 400, AURORA, CO 80012-4540
(303) 671-2122
(303) 671-2122
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0022177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN54776
—
CO
Enumeration date
10/19/2017
Last updated
10/19/2017
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