Weidner Medical Consulting Pllc | |
2720 E Calle Marquez Kingman AZ 86409-0851 | |
(928) 263-9657 | |
Not Available |
Full Name | Weidner Medical Consulting Pllc |
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Speciality | Family Medicine |
Location | 2720 E Calle Marquez, Kingman, Arizona |
Authorized Official Name and Position | Candice M Weidner (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 9282639657 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weidner Medical Consulting Pllc Po Box 4452 Kingman AZ 86402-4452 Ph: (928) 263-9657 | Weidner Medical Consulting Pllc 2720 E Calle Marquez Kingman AZ 86409-0851 Ph: (928) 263-9657 |
NPI Number | 1780900910 |
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Provider Enumeration Date | 04/13/2010 |
Last Update Date | 07/29/2010 |
Medicare PECOS PAC ID | 2961530639 |
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Medicare Enrollment ID | O20100517000886 |
Identifier | Type | State | Issuer |
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1780900910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4035 (Arizona) | Primary |
Provider Name | John A Weidner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467438143 PECOS PAC ID: 0941270896 Enrollment ID: I20040728000673 |
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