Organization
ROBERT J. WEEDN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA K. HENDERSON (OFFICE MANAGER)
(580) 255-9111
Entity
Organization
Contact information
Practice address
111 N 10TH ST, DUNCAN, OK 73533-4667
(580) 255-9111
(580) 255-2246
Mailing address
111 N 10TH ST, DUNCAN, OK 73533-4667
(580) 255-9111
(580) 255-2246
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8843
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022120752
RAILROAD MEDICARE
—
05
—
100104780A
—
OK
01
—
443409820001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
01/27/2010
Last updated
01/27/2010
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