NPI 1154323392

Donald L Weese, MD

Practitioner Urology Physician Burley, ID

Practice location

Address: 1501 Hiland Ave STE H, Burley, ID 83318-2688
Phone: (208) 677-6266
Mailing address: PO Box 30180, Salt Lake City, UT 84130-0180

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-6230 (ID)

Other Urology providers in Idaho →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 33863 (OK)

Registry record

NPI: 1154323392
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 21 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.