Individual
BRUCE C WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 678-3044
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R9977
MO
207L00000X
Anesthesiology Physician
T02084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135X5
—
NC
Enumeration date
10/25/2006
Last updated
03/30/2021
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