Individual
DONALD C WELDON
Active
Individual
DONALD C WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16679
NE
261QR1300X
Rural Health Clinic/Center
16679
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00733
BLUE CROSS BLUE SHIELD
NE
05
—
47071415401
—
NE
Enumeration date
06/14/2005
Last updated
02/25/2010
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