Individual
MARK JUSTIN WEISS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S UTICA AVE, STE 107, TULSA, OK 74104-5317
(918) 742-2428
(918) 742-8435
Mailing address
1717 S UTICA AVE, STE 107, TULSA, OK 74104-5317
(918) 742-2428
(918) 742-8435
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9126
OK
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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