MEDICARE: R STUART WEEKS MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	G19422	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114084381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R STUART WEEKS MD INC

Provider Business Mailing Address
First Line	:	3590 CAMINO DEL RIO N
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1707
Country	:	US
Telephone Number	:	619-810-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3590 CAMINO DEL RIO N
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1707
Country	:	US
Telephone Number	:	619-810-1000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	DR. R. STUART WEEKS
Credential	:	M.D.
Telephone Number	:	619-810-1000

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	04/02/2018

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