NPI 1942373766

Mickey Ray Weimer, CFA

Practitioner Surgical Technologist Eagle, ID

Practice location

Address: 323 E. Riverside Dr #234, Eagle, ID 83616
Phone: (208) 938-4080
Fax: (208) 938-8922
Mailing address: 1963 W Lonesome Dove St, Meridian, ID 83646-8271

Registered specialties (2)

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 97391 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Surgical Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 97391

Registry record

NPI: 1942373766
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2006
Record last updated: 14 Oct 2014

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.