Individual
DR. WELDON DAVID COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 873-3929
Mailing address
6810 E BROADWAY BLVD STE 202, TUCSON, AZ 85710-2899
(520) 298-4589
(520) 298-5236
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12487
LICENSE
AZ
Enumeration date
10/11/2006
Last updated
10/02/2007
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