MEDICARE: DR. JANET E 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	207K00000X	Allergy & Immunology Physician	MD60051240	WA

General Provider Information

NPI Number	:	1447250824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET E WEIR M.D.

Provider Business Mailing Address
First Line	:	1901 S UNION AVE
Second Line	:	STE B6010
City	:	TACOMA
State	:	WA
Zip	:	98405-1702
Country	:	US
Telephone Number	:	253-383-4721
Fax Number	:	253-627-4296

Provider Business Practice Location Address
First Line	:	1901 S UNION AVE
Second Line	:	STE B6010
City	:	TACOMA
State	:	WA
Zip	:	98405-1702
Country	:	US
Telephone Number	:	253-383-4721
Fax Number	:	253-627-4296

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	09/23/2014

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