MR. Philip Louis Weidner II, PA-C
NPI #1295037844 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1295037844
- Entity Type
- Individual
- Name
- MR. Philip Louis Weidner II, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 1, 2010
- Last Updated
- Dec 22, 2023
Practice Location
- Address
- 1233 N NORTHWOOD CENTER CT STE 101
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-6190
- Phone
- (208) 457-4211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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