Healthcare Provider Details
I. General information
NPI: 1215978168
Provider Name (Legal Business Name): ROBERT J WESTER MDPC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2006
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2005 FRANKLIN ST SUITE 630
DENVER CO
80205-5401
US
IV. Provider business mailing address
3464 S WILLOW ST SUITE 119
DENVER CO
80231-4531
US
V. Phone/Fax
- Phone: 303-866-8186
- Fax:
- Phone: 303-755-2900
- Fax: 303-755-0404
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VC0200X |
| Taxonomy | Critical Care Medicine (Obstetrics & Gynecology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
J
WESTER
Title or Position: PRESIDENT
Credential: MD
Phone: 303-866-8186