Provider Demographics
NPI:1215978168
Name:ROBERT J WESTER MDPC
Entity type:Organization
Organization Name:ROBERT J WESTER MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:WESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-866-8186
Mailing Address - Street 1:3464 S WILLOW ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4531
Mailing Address - Country:US
Mailing Address - Phone:303-755-2900
Mailing Address - Fax:303-755-0404
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:SUITE 630
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5401
Practice Address - Country:US
Practice Address - Phone:303-866-8186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORO661466OtherBLUE SHIELD
CO62604767Medicaid
CO62604767Medicaid
COC800424Medicare PIN