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NPI Code Detail

MEDICARE: SPENCER WEILER PA-C

MEDICARE: SPENCER WEILER PA-C
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
1207Q00000XFamily Medicine Physician10434311-1206UT
2207Q00000XFamily Medicine Physician0005529CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10005529OTHERCOSTATE LICENSE

General Provider Information

NPI Number : 1902328883
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER WEILER PA-C
Provider Business Mailing Address
First Line : 2303 S TOWNSEND AVE STE A
Second Line :
City : MONTROSE
State : CO
Zip : 81401-5452
Country : US
Telephone Number : 970-249-7751
Fax Number : 970-249-5029
Provider Business Practice Location Address
First Line : 569 32 RD STE 12
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 11/25/2024

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Directions to “ SPENCER WEILER PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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