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1134323736
LEE ROY WIEDERHOLD
GALVESTON, TX
NPI
1134323736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: TX M5976)
Enumeration Date
2007-06-14
Last Update Date
2019-01-29
Business Address
Dr. LEE ROY WIEDERHOLD MD, PhD
301 UNIVERSITY BLVD
GALVESTON, TX 77555-0462
Phone number: 409-772-2531
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Mailing Address
Dr. LEE ROY WIEDERHOLD MD, PhD
301 UNIVERSITY BLVD
GALVESTON, TX 77555-5302
Phone number: 409-772-2222
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