Individual
THOMAS J WEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD025189E
PA
207Q00000X
Family Medicine Physician
Primary
MD34447
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009493140007
—
PA
05
—
175393
—
AL
Enumeration date
05/01/2006
Last updated
07/21/2022
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