Individual
PATRICK OWEN WELDON
Active
Individual
PATRICK OWEN WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1691
WV
207L00000X
Anesthesiology Physician
Primary
OS008710L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706469
MSBCBS GROUP
WV
01
—
001706470
MSBCBS GROUP
WV
01
—
001907643
MSBCBS
WV
01
—
001960421
MSBCBS
WV
05
—
005067000
—
WV
05
—
020726000
—
WV
01
—
1071578
BRICKSTREET
WV
05
—
1657557
—
PA
01
—
20554238700
TRICARE
WV
01
—
270052997
WORKERS COMP
WV
01
—
27005299700
WORKERS COMP
WV
01
—
270052997004
TRICARE
WV
05
—
3810006746
—
WV
01
—
DF0767
RR MEDICARE
WV
01
—
P00452518
RR MEDICARE
WV
Enumeration date
11/20/2006
Last updated
02/18/2013
Update your record
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