Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | DR.0036027 | CO |
NPI | 1033229810 |
---|---|
Provider Name | Dr. Erica L Weis |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80011-7112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 03/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H36437 | (02) |