MEDICARE: DR. JAYSON ALAN WEIR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A127788	CA
2	207R00000X	Internal Medicine Physician	MD61032587	WA
3	208M00000X	Hospitalist Physician	A127788	CA
4	208M00000X	Hospitalist Physician	17276	NV
5	207R00000X	Internal Medicine Physician	17276	NV

General Provider Information

NPI Number	:	1518257138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYSON ALAN WEIR M.D.

Provider Business Mailing Address
First Line	:	850 HARVARD WAY
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2055
Country	:	US
Telephone Number	:	775-982-5262
Fax Number	:	775-982-5496

Provider Business Practice Location Address
First Line	:	917 MOUNTAIN ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3819
Country	:	US
Telephone Number	:	775-515-0100
Fax Number	:	775-515-0005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2011
Last Update Date	:	10/05/2023

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