Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dane Edward Weatherford, IDC

Individual provider Military Health Care Provider · NPI 1053686824

Mr. Dane Edward Weatherford, IDC is a Military Health Care Provider in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

10209 Hooper St
San Diego, CA 92124-3509
Phone: (860) 501-0511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1053686824
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedMarch 13, 2012
Last updated in NPPESMarch 13, 2012

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