Provider Demographics
NPI:1043366750
Name:WEEKES, COLIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:D
Last Name:WEEKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-724-0295
Mailing Address - Fax:303-724-3889
Practice Address - Street 1:1665 URSULA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7402
Practice Address - Country:US
Practice Address - Phone:303-724-0295
Practice Address - Fax:303-724-3889
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD59858207RX0202X
CO45860207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42239346Medicaid
COC809332Medicare PIN