Provider Demographics
NPI:1124300348
Name:WEBER, NAOMI (DMV)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:DMV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2899 N SPEER BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4202
Mailing Address - Country:US
Mailing Address - Phone:303-477-1984
Mailing Address - Fax:
Practice Address - Street 1:2899 N SPEER BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4202
Practice Address - Country:US
Practice Address - Phone:303-477-1984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8555174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian