Organization
THERESA WEILAND DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CSIK (CORP SECRETARY)
(208) 333-8841
Entity
Organization
Contact information
Practice address
222 N 2ND ST, SUITE 201, BOISE, ID 83702-6109
(208) 345-7727
(208) 345-4689
Mailing address
2245 TOLUKA WAY, BOISE, ID 83712-8552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-119
ID
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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