Dr. Edra Blackburn Weiss
MD | Pediatrics | Female
Dr. Edra Blackburn Weiss, MD is a Lakewood, Colorado based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Edra Blackburn Weiss is
2020 Wadsworth Blvd, Ste 16, Lakewood, Colorado - 80214-5730. She can be contacted on phone at
303-233-8701 and fax number 303-233-2850.
Dr. Edra Blackburn Weiss is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Edra Blackburn Weiss is
1609869528 which was assigned by NPPES on 25 Aug, 2005 and it was last updated on 09 Mar, 2012.
Dr. Edra Blackburn Weiss license number is
24410 for Pediatrics (208000000X) in Colorado.
Dr. Edra Blackburn Weiss is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Edra Blackburn Weiss basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Edra Blackburn Weiss |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Edra Blackburn Weiss address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2020 Wadsworth Blvd, Ste 16
Lakewood, CO, 80214-5730
United States |
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| Phone Number : | 303-233-8701 |
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| Fax Number : | 303-233-2850 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609869528 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Aug, 2005 |
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| Last Updated On : | 09 Mar, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edra Blackburn Weiss are as mentioned. Primary taxonomy code for Dr. Edra Blackburn Weiss, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 24410 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Edra Blackburn Weiss such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01244102 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2020 Wadsworth Blvd, Ste 16
Lakewood, CO, 80214-5730
United States |
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| Phone Number : | 303-233-8701 |
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| Fax Number : | 303-233-2850 |
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Business Location:
Patients can refer following map for directions to
Dr. Edra Blackburn Weiss practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.