Individual
DR. JASON CHRISTOPHER WEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 N C AVE, THERMOPOLIS, WY 82443-2410
(307) 864-8207
(307) 864-9470
Mailing address
120 N C AVE, PO BOX 1327, THERMOPOLIS, WY 82443-2410
(307) 864-8207
(307) 864-9470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7347A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112JCW06
WY CONTROLLED SUBSTANCE #
WY
05
—
123460900
—
WY
01
—
P00436280
RAILROAD MEDICARE
WY
01
—
WY7347A
WY MEDICAIL LICENSE #
WY
Enumeration date
05/22/2006
Last updated
03/07/2023
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