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Philip Weivoda, ATC
NPI 1588329775 · on the registry since 2021
Practice
- Address
- 235 Road 1399
Tupelo, MS 38804 - Phone
- (503) 351-6211
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi