Individual
ANDREW WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1843 MAIN ST, APT D4, LYNDEN, WA 98264-1113
(509) 671-0740
Mailing address
1701 W 2450 S, OGDEN, UT 84401-4501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015990
WA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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