Provider Demographics
NPI:1164611653
Name:WEYRICH, ORVILLE RODNEY JR (ND)
Entity Type:Individual
Prefix:DR
First Name:ORVILLE
Middle Name:RODNEY
Last Name:WEYRICH
Suffix:JR
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5782
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-5782
Mailing Address - Country:US
Mailing Address - Phone:480-600-7695
Mailing Address - Fax:
Practice Address - Street 1:10208 E SAN SALVADOR DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5731
Practice Address - Country:US
Practice Address - Phone:480-600-7695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-1008175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath