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Individual
BARRY D WEISS
Active
Individual
BARRY D WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10602
AZ
207Q00000X
Family Medicine Physician
4914
AK
207QG0300X
Geriatric Medicine (Family Medicine) Physician
10602
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4914
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210310
—
AZ
01
—
380000449
RAILROAD MEDICARE
AZ
05
—
MD48591
—
AK
Enumeration date
08/30/2006
Last updated
02/02/2012
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