Individual
LIONEL EDWARDS WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
476 WILLIAMS WAY, MOAB, UT 84532-2065
(435) 719-5550
(435) 719-5551
Mailing address
210 E 300 S, MOAB, UT 84532-2622
(435) 719-5550
(435) 719-5551
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0519910220
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05199
—
UT
Enumeration date
11/09/2006
Last updated
03/01/2012
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