Provider Demographics
NPI:1316526510
Name:WESTON, MICHAEL CONNER (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:CONNER
Last Name:WESTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4344 WOODLANDS BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2801
Mailing Address - Country:US
Mailing Address - Phone:303-649-3155
Mailing Address - Fax:303-649-3156
Practice Address - Street 1:1151 ALOHA ST.
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108
Practice Address - Country:US
Practice Address - Phone:720-330-1305
Practice Address - Fax:720-452-2079
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2025-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.73526207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine