Provider Demographics
NPI:1518963107
Name:WEXLER, PAUL (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:WEXLER
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 1:8200 E BELLEVIEW AVE STE 410C
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2807
Mailing Address - Country:US
Mailing Address - Phone:303-694-4665
Mailing Address - Fax:303-694-3473
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 410C
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2807
Practice Address - Country:US
Practice Address - Phone:303-694-4665
Practice Address - Fax:303-694-3473
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15739207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01157395Medicaid
CO95101Medicare ID - Type Unspecified
D22913Medicare UPIN