Individual
JOHANNA LEIGHANN WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003-3644
(918) 333-3136
(918) 333-3169
Mailing address
PO BOX 218, CHELSEA, OK 74016-0218
(918) 333-3136
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1668
OK
Other
Enumeration date
05/22/2007
Last updated
01/14/2015
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