Healthcare Provider Details

I. General information

NPI: 1568193621
Provider Name (Legal Business Name): WILLIAM WEIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST
DENVER CO
80206-2762
US

IV. Provider business mailing address

PO BOX 56
CASTLE ROCK CO
80104-0056
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-1355
  • Fax:
Mailing address:
  • Phone: 720-845-0007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0076586
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: