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NPI Code Detail

MEDICARE: JONATHAN C WEEKS MD

MEDICARE: JONATHAN C WEEKS MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207L00000XAnesthesiology PhysicianA104384CA

General Provider Information

NPI Number : 1376557439
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN C WEEKS MD
Provider Business Mailing Address
First Line : 6077 COFFEE RD
Second Line : STE4 #55
City : BAKERSFIELD
State : CA
Zip : 93308
Country : US
Telephone Number : 661-369-1410
Fax Number :
Provider Business Practice Location Address
First Line : 2215 TRUXTUN AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3602
Country : US
Telephone Number : 661-632-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/30/2020

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