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General NPI Number Information
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NPI Number | 1417051962
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Entity Type | Individual
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Provider Name | ALLAN PAUL WESTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 198 FOUR STATES DR SUITE 6
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City | GALENA
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State | KS
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Zip | 66739-4304
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Country | US
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Telephone | 620-783-1650
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Fax | 620-783-1652
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Provider Business Mailing Address
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Address Line | 2900 MEDICAL CENTER PKWY STE 300
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City | BENTONVILLE
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State | AR
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Zip | 72712-3214
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Country | US
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Telephone | 620-783-1650
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Fax | 620-783-1652
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2004012778
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License Number State | MO
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