Individual
MR. RICHARD GEORGE WEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3114
Mailing address
PO BOX 1774, TAHLEQUAH, OK 74465-1774
(918) 456-9395
(918) 456-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0056461
OK
Other
Enumeration date
09/17/2005
Last updated
08/04/2009
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