Individual
THOMAS WILLIAM WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-7044
(505) 841-1462
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2016-0488
NM
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD2016-0488
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2010
Last updated
07/26/2016
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