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Individual

MR. RICHARD L WEDDIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 N UNIVERSITY AVE, LUBBOCK, TX 79415
(806) 741-3789
Mailing address
PO BOX 5396, LUBBOCK, TX 79408-5396
(806) 741-3789
(806) 741-3563

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D2625
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00304460
RAILROAD MEDICARE
Enumeration date
11/16/2006
Last updated
11/19/2008
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