Individual
DR. THOMAS F. WEESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1965 S FREMONT AVE, SUITE 310, SPRINGFIELD, MO 65804-2201
(417) 820-3128
(417) 820-8616
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
103950
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158164001
—
AR
05
—
208711416
—
MO
01
—
82959
AR BLUE SHIELD #
MO
Enumeration date
02/19/2007
Last updated
07/23/2008
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