Individual
RALPH MICHAEL WEATHERFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-5105
(334) 671-5073
Mailing address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3001
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29994
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2008
Last updated
04/19/2012
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