Individual
JAMES R WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 W MEADOW AVE, SPRINGDALE, AR 72764-4462
(479) 751-4609
(479) 751-6519
Mailing address
712 W MEADOW AVE, SPRINGDALE, AR 72764-4462
(479) 751-4609
(479) 751-6519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2563
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35529
UNITED CONCORDIA
AR
01
—
5B716
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
10/11/2006
Last updated
07/08/2007
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