Individual
ROXANE WEIGHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3992
Mailing address
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34-007205
OH
2086X0206X
Surgical Oncology Physician
Primary
34-007205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000955123
ANTHEM
OH
05
—
2346198
—
OH
01
—
7900369
AETNA
OH
Enumeration date
04/26/2006
Last updated
11/16/2020
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