Individual
PATRICIA WESLEY
Active
Individual
PATRICIA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034472A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313304
ANTHEM
IN
05
—
100335520
—
IN
01
—
P00102144
RR MEDICARE
IN
Enumeration date
07/25/2006
Last updated
01/26/2017
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