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Individual

DR. KURT D WEIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1240 SW 44TH ST, OKLAHOMA CITY, OK 73109-3604
(405) 631-1527
(405) 631-9930
Mailing address
2708 SW 125TH ST, OKLAHOMA CITY, OK 73170-4759
(405) 378-0724

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18441
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100108030A
OK
Enumeration date
08/09/2006
Last updated
07/08/2007
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