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NPI Code Detail

MEDICARE: RICHARD F. WEINER, MD PC

MEDICARE: RICHARD F. WEINER, MD PC
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
1208000000XPediatrics Physician4552NV

General Provider Information

NPI Number : 1477649515
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD F. WEINER, MD PC
Provider Business Mailing 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
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 : PRESIDENT
Name : DR. RICHARD FRANKLIN WEINER
Credential : MD
Telephone Number : 702-641-2150
Provider Enumeration Date : 10/05/2006
Last Update Date : 08/22/2020

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