Individual
DR. GERARD J WEEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 327-4047
Mailing address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 327-4047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102201286
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010054010
—
VA
05
—
1013908748
—
VA
01
—
P00193823
RR MEDICARE
—
Enumeration date
11/02/2005
Last updated
07/26/2012
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