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Individual
MR. ROBERT WEISS
Active
Individual
MR. ROBERT WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
112856
MT
363A00000X
Physician Assistant
PA1470
NV
363A00000X
Physician Assistant
PA60999636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145427
—
WA
Enumeration date
11/08/2013
Last updated
04/05/2024
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