Organization
WEESE DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLAN L WEESE M.D. (OWNER)
(541) 957-1141
Entity
Organization
Contact information
Practice address
2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471-8847
(541) 957-1141
(541) 957-1466
Mailing address
2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471-8847
(541) 957-1141
(541) 957-1466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD167536
OR
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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