# DONALD L WEESE, M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194763151
- **Authorized official:** DONALD L WEESE M.D. (PHYSICIAN)
- **Authorized official phone:** (208) 735-0007

## Contact information

- **Practice address:** 844 WASHINGTON ST N, NUMBER 400, TWIN FALLS, ID 83301-3874
- **Practice address phone:** (208) 735-0007
- **Practice address fax:** (208) 735-0008
- **Mailing address:** 844 WASHINGTON ST N, NUMBER 400, TWIN FALLS, ID 83301-3874
- **Mailing address phone:** (208) 735-0007
- **Mailing address fax:** (208) 735-0008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002721500 | — | ID |
| 01 | — | DF7202 | RR MEDICARE | ID |