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Individual

DR. PAUL JEFFREY WEATHERBY

Active
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Individual

DR. PAUL JEFFREY WEATHERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01094386A
IN
207X00000X
Orthopaedic Surgery Physician
036169220
IL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
01094386A
IN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
036169220
IL
207XX0801X
Orthopaedic Trauma Physician
95466
SC

Other

Enumeration date
05/16/2019
Last updated
09/29/2025
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