Individual
CHARLES THOMAS WEIGEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(857) 239-7667
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.306541
LA
Other
Enumeration date
06/28/2017
Last updated
04/21/2022
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