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Individual
STEPHEN C WEATHERFORD
Active
Individual
STEPHEN C WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
F2098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123423903
—
TX
Enumeration date
09/12/2006
Last updated
02/01/2012
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