Individual
DR. NATHAN R WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 MORONGO AVE, BANNING, CA 92220-3813
(951) 849-4761
Mailing address
133 MORONGO AVE, BANNING, CA 92220-3813
(909) 648-6283
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A95657
CA
Other
Enumeration date
02/06/2007
Last updated
10/16/2021
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