MR. Dane Edward Weatherford, IDC is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Dane Edward Weatherford, IDC NPI is 1053686824. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10209 HOOPER ST
SAN DIEGO, CA
ZIP 92124-509
Phone: (860) 501-0511
The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.