Individual
LANCE WADE WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2708 RIFE MEDICAL LANE, STE 220, ROGERS, AR 72758-1452
(479) 338-4400
(479) 338-4445
Mailing address
2708 RIFE MEDICAL LANE, STE 220, ROGERS, AR 72758-1452
(479) 338-4400
(479) 338-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-7387
AR
207RC0000X
Cardiovascular Disease Physician
Primary
E-7387
AR
Other
Enumeration date
11/06/2007
Last updated
12/02/2020
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