Individual
DR. MARION D WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
104 W SPRING ST, NEOSHO, MO 64850-1720
(417) 451-0400
(417) 781-9814
Mailing address
1531 W 32ND ST, STE 102, JOPLIN, MO 64804-1611
(417) 781-3630
(417) 624-9704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111979
BC/BS
MO
05
—
202889648
—
MO
Enumeration date
06/11/2006
Last updated
09/17/2019
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