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Individual

HOWARD IVAN WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
456 N NEW BALLAS RD, SUITE 324, CREVE COEUR, MO 63141-6831
(314) 569-3381
(314) 569-1383
Mailing address
456 N NEW BALLAS RD, SUITE 324, CREVE COEUR, MO 63141-6831
(314) 569-3381
(314) 569-1383

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R5105
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-00073
UHC MIDWEST
MO
01
130005594
RAILROAD MEDICARE
01
168031
HEALTHLINK HMO/PPO
01
17836
ANTHEM BLUE CROSS
MO
01
2145V43102995602
GROUP HEALTH PLAN
01
43102995602
CARE MGMT RESOURCES
Enumeration date
08/01/2006
Last updated
08/27/2008
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