Provider Demographics
NPI:1801951264
Name:WEISS, DAVID M (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:WEISS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6081 S QUEBEC ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4538
Mailing Address - Country:US
Mailing Address - Phone:303-779-4660
Mailing Address - Fax:303-220-8865
Practice Address - Street 1:6081 S QUEBEC ST STE 203
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-4538
Practice Address - Country:US
Practice Address - Phone:303-779-4660
Practice Address - Fax:303-220-8865
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2010-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO277082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC95211Medicare PIN