# MR. ROBERT WEISS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477982577
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 112856 | MT | Yes |
| 363A00000X | Physician Assistant | PA1470 | NV | — |
| 363A00000X | Physician Assistant | PA60999636 | WA | — |

## Other

- **Enumeration date:** 11/08/2013
- **Last updated:** 04/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2145427 | — | WA |