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Organization
RONALD G WEAKLEY MD INC
Active
Organization
RONALD G WEAKLEY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GENE WEAKLEY MD (PRESIDENT)
(209) 525-3883
Entity
Organization
Contact information
Practice address
1401 SPANOS CT, #124, MODESTO, CA 95355
(209) 525-3883
(209) 525-3889
Mailing address
1401 SPANOS CT, #124, MODESTO, CA 95355
(209) 525-3883
(209) 525-3889
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C36554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C365540
—
CA
Enumeration date
05/30/2007
Last updated
08/22/2020
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