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NPI Code Detail

MEDICARE: JEFFRY P WEINGARDT MD

MEDICARE:   JEFFRY P WEINGARDT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085B0100XBody Imaging Physician32654CO
22085R0202XDiagnostic Radiology Physician32654CO

General Provider Information

NPI Number : 1831172378
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFRY P WEINGARDT MD
Provider Business Mailing Address
First Line : 10800 E GEDDES AVE STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-3895
Country : US
Telephone Number : 303-761-9190
Fax Number : 720-874-4462
Provider Business Practice Location Address
First Line : 10800 E GEDDES AVE STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-3895
Country : US
Telephone Number : 303-761-9190
Fax Number : 720-874-4462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 03/31/2024

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Directions to “ JEFFRY P WEINGARDT MD” Practice Location

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