MR. Timothy L. Weide, P.A.

NPI #1861600017 in Derby, Kansas

Provider Information

NPI Number: 1861600017
Entity Type: Individual
Name: MR. Timothy L. Weide, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 20, 2007
Last Updated: Feb 1, 2008

Practice Location

Address: 1121 N COLLEGE PARK ST
Address 2: SUITE # 400
City: Derby
State: Kansas
ZIP Code: 67037-3665
Phone: (316) 788-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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