Weese Dermatology PC

NPI #1790176949 in Roseburg, Oregon

Provider Information

NPI Number: 1790176949
Entity Type: Organization
Organization Name: Weese Dermatology PC
Primary Specialty: Specialist
Enumeration Date: Feb 10, 2015
Last Updated: Feb 10, 2015

Practice Location

Address: 2440 NW EDENBOWER BLVD
City: Roseburg
State: Oregon
ZIP Code: 97471-8847
Phone: (541) 957-1141

Authorized Official

Name: KAYLAN L WEESE, M.D.
Title: OWNER
Phone: (541) 957-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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