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NPI Code Detail

MEDICARE: ANDREA K WEED D O PROFESSIONAL CORPORATION

MEDICARE: ANDREA K WEED D O PROFESSIONAL CORPORATION
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356532683
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREA K WEED D O PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 1007 N CURRY ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-3919
Country : US
Telephone Number : 775-841-2100
Fax Number : 775-841-7239
Provider Business Practice Location Address
First Line : 1007 N CURRY ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-3919
Country : US
Telephone Number : 775-841-2100
Fax Number : 775-841-7239
Authorized Official
Title or Position : OWNER
Name : DR. ANDREA K WEED
Credential : D.O.
Telephone Number : 775-841-2100
Provider Enumeration Date : 08/01/2007
Last Update Date : 01/25/2012

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Directions to “ANDREA K WEED D O PROFESSIONAL CORPORATION ” Practice Location

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