Organization
RICHARD J. WEILAND, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER S WEILAND (OFFICE MANAGER)
(509) 758-0006
Entity
Organization
Contact information
Practice address
1207 EVERGREEN CT, CLARKSTON, WA 99403-2843
(509) 758-0006
(509) 758-2607
Mailing address
1207 EVERGREEN CT, CLARKSTON, WA 99403-2843
(509) 758-0006
(509) 758-2607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032709
—
ID
05
—
1379205
—
WA
Enumeration date
10/19/2007
Last updated
12/11/2009
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