Individual
PATRICK OWEN WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 285-1200
Mailing address
PO BOX 711841, COLUMBUS, OH 43271-0001
(304) 346-9400
(304) 720-8461
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
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