Healthcare Provider Details

I. General information

NPI: 1427017615
Provider Name (Legal Business Name): ERIC S WEINSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE SUITE 550
DENVER CO
80210-7009
US

IV. Provider business mailing address

950 E HARVARD AVE SUITE 550
DENVER CO
80210-7009
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-6527
  • Fax: 303-733-1288
Mailing address:
  • Phone: 303-778-6527
  • Fax: 303-733-1288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35078
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: