Individual
DR. NOEL WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WEST ARBOR DRIVE, UCSD MEDICAL CENTER, SAN DEIGO, CA 92103-8720
(619) 543-5402
Mailing address
18415 AZOFAR CT, SAN DIEGO, CA 92128-1568
(858) 487-5202
(619) 543-5429
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G72066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG720660
—
CA
Enumeration date
05/23/2006
Last updated
07/08/2007
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