Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 04-21402 | KS |
Y | 207VX0201X | Gynecologic Oncologist | R1H90 | MO |
NPI | 1326045766 |
---|---|
Provider Name | Dr. John C Weed JR. |
First Address | Kansas City, MO 64132-1136 |
Second Address | Kansas City, MO 64132-1136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 09/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100124490D | (05) | KS |
100124490E | (05) | KS |
100124490F | (05) | KS |
1326045766 | (05) | MO |
202246021 | (05) | MO |
C51324 | (02) |