MEDICARE: RICHARD FRANKLINE WEINER 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	208000000X	Pediatrics Physician	4552	NV

General Provider Information

NPI Number	:	1326009390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD FRANKLINE WEINER M.D.

Provider Business Mailing Address
First Line	:	907 TEMPLE VIEW DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-2900
Country	:	US
Telephone Number	:	702-413-7003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-4109
Country	:	US
Telephone Number	:	702-641-2150
Fax Number	:	702-641-8667

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

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/08/2007

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