St Thomas Neurology Pllc | |
9149 Estate Thomas Ste 209 Paragon Medical Bld St Thomas VI 00802-3132 | |
(340) 775-4666 | |
(340) 775-3650 |
Full Name | St Thomas Neurology Pllc |
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Speciality | Psychiatry & Neurology |
Location | 9149 Estate Thomas Ste 209, St Thomas, Virgin Island |
Authorized Official Name and Position | David D Weisher (PHYSICIAN / OWNER) |
Authorized Official Contact | 3407754666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Thomas Neurology Pllc Po Box 7307 St Thomas VI 00801-0307 Ph: (340) 775-4666 | St Thomas Neurology Pllc 9149 Estate Thomas Ste 209 Paragon Medical Bld St Thomas VI 00802-3132 Ph: (340) 775-4666 |
NPI Number | 1023361052 |
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Provider Enumeration Date | 10/15/2012 |
Last Update Date | 10/15/2012 |
Medicare PECOS PAC ID | 5395996458 |
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Medicare Enrollment ID | O20121119000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023361052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 1244 (Virgin Island) | Primary |
Provider Name | David D Weisher |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861411191 PECOS PAC ID: 5496720799 Enrollment ID: I20040831000433 |
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