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Individual

DR. ROBERT JAMES WEEDN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 N 10TH ST, DUNCAN, OK 73533-4611
(580) 255-9111
(580) 255-2246
Mailing address
111 N 10TH ST, DUNCAN, OK 73533-4611
(580) 255-9111
(580) 255-2246

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8843
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022120752
RAILROAD MEDICARE
OK
05
100104780A
OK
Enumeration date
07/28/2005
Last updated
01/26/2010
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