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Organization

WEIDNER MEDICAL CONSULTING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDICE M WEIDNER (ADMINISTRATIVE ASSISTANT)
(928) 263-9657
Entity
Organization

Contact information

Practice address
2720 E CALLE MARQUEZ, KINGMAN, AZ 86409-0851
(928) 263-9657
Mailing address
PO BOX 4452, KINGMAN, AZ 86402-4452
(928) 263-9657

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4035
AZ

Other

Enumeration date
04/13/2010
Last updated
07/29/2010
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