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Organization
DONALD L WEESE, M.D., P.C.
Active
Organization
DONALD L WEESE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L WEESE M.D. (PHYSICIAN)
(208) 735-0007
Entity
Organization
Contact information
Practice address
844 WASHINGTON ST N, NUMBER 400, TWIN FALLS, ID 83301-3874
(208) 735-0007
(208) 735-0008
Mailing address
844 WASHINGTON ST N, NUMBER 400, TWIN FALLS, ID 83301-3874
(208) 735-0007
(208) 735-0008
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002721500
—
ID
01
—
DF7202
RR MEDICARE
ID
Enumeration date
06/03/2006
Last updated
06/17/2008
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