Basic Information
| Provider Information | |||||||||
| NPI: | 1538475777 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DANIEL D. WEED, M.D., P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9411 N OAK TRFY | ||||||||
| Address2: | 240 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641552233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8164688632 | ||||||||
| FaxNumber: | 8164687722 | ||||||||
| Practice Location | |||||||||
| Address1: | 9411 N OAK TRFY | ||||||||
| Address2: | 240 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641552233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8164688632 | ||||||||
| FaxNumber: | 8164687722 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2010 | ||||||||
| LastUpdateDate: | 08/25/2010 | ||||||||
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| AuthorizedOfficialLastName: | WEED | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | DEE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8164688632 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | DANIEL D. WEED, M.D.,P.C. | ||||||||
| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | R6G15 | MO | Y | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No ID Information.