Provider Demographics
NPI:1447353370
Name:WEISS, DAVID B (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8565 POPLAR WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-3602
Mailing Address - Country:US
Mailing Address - Phone:720-348-2827
Mailing Address - Fax:720-348-2803
Practice Address - Street 1:8565 POPLAR WAY
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-3602
Practice Address - Country:US
Practice Address - Phone:720-348-2827
Practice Address - Fax:720-348-2803
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO304332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01304336Medicaid
CO01304336Medicaid
F96570Medicare UPIN