| Richard J. Weiland, Jr., M.d. | |
|
1207 Evergreen Ct Clarkston WA 99403-2843 | |
| (509) 758-0006 | |
| (509) 758-2607 |
| Full Name | Richard J. Weiland, Jr., M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1207 Evergreen Ct, Clarkston, Washington |
| Authorized Official Name and Position | Jennifer S Weiland (OFFICE MANAGER) |
| Authorized Official Contact | 5097580006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Weiland, Jr., M.d. 1207 Evergreen Ct Clarkston WA 99403-2843 Ph: (509) 758-0006 | Richard J. Weiland, Jr., M.d. 1207 Evergreen Ct Clarkston WA 99403-2843 Ph: (509) 758-0006 |
| NPI Number | 1023207677 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 12/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023207677 | NPI | - | NPPES |
| 1379205 | Medicaid | WA | |
| 0032709 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15988 (Washington) | Primary |
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