Provider Demographics
NPI:1275232464
Name:WEEKS, JUSTIN DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:DAVID
Last Name:WEEKS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1501 SAN PEDRO DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-5153
Mailing Address - Country:US
Mailing Address - Phone:505-853-7992
Mailing Address - Fax:505-846-3930
Practice Address - Street 1:2050A 2ND ST SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87117-5153
Practice Address - Country:US
Practice Address - Phone:505-846-3200
Practice Address - Fax:505-846-3930
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2024-09-24
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Provider Licenses
StateLicense IDTaxonomies
CODR.0073928208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice