Individual
MR. STEPHEN DOUGLAS WEATHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
391 BROAD ST, MERIDEN, CT 06450-5844
(203) 634-0523
Mailing address
9 BIRCH MILL TRL, ESSEX, CT 06426-1204
(960) 767-7974
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000769
CT
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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