Most Relevant Information
Provider Data
NPI Number: | 1003029695 |
Provider Name: | STEPHEN ARTHUR WESELEY M.D. |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | 34439 |
Most Important Dates
Enumeration Date: | 05/08/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
439 WHITE CLOUD DRIVE
SUNRISE RIDGE TOWNHOUSE 2
BRECKENRIDGE
CO
80424
Practice Location Phone/Fax
Phone: | 9704537006 |
Fax: | 9704537006 |
Provider Mailing Location
PO BOX 855
BRECKENRIDGE
CO
804240855
Provider Mailing Phone/Fax
Phone: | 9704537006 |
Fax: | 9704537006 |