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Individual

RUTH ANN WEESNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1414 ARLINGTON ST, SUITE 1700, ADA, OK 74820-2643
(580) 333-7337
(580) 332-3881
Mailing address
1414 ARLINGTON ST, SUITE 1700, ADA, OK 74820-2643
(580) 333-7337
(580) 332-3881

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16267
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100130860B
OK
Enumeration date
10/23/2006
Last updated
04/26/2013
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