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Individual

DEAN C WEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 982-4228
Mailing address
1637 FAIRFIELD GREEN RD, RICHMOND, VA 23238-4065
(804) 741-3125

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001084900
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024084900
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8938920
VA
Enumeration date
06/10/2005
Last updated
09/16/2013
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