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NPI Code Detail

MEDICARE: DR. DENNIS V WEISS M.D.

MEDICARE: DR. DENNIS V WEISS 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
12084P0800XPsychiatry Physician15479AZ

General Provider Information

NPI Number : 1265571012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS V WEISS M.D.
Provider Business Mailing Address
First Line : 1530 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-6101
Country : US
Telephone Number : 602-340-9755
Fax Number : 602-253-7940
Provider Business Practice Location Address
First Line : 1530 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-6101
Country : US
Telephone Number : 602-340-9755
Fax Number : 602-253-7940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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