Individual
MR. DEREK EDWARD WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
NAVAL MEDICAL CENTER, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 450-4740
Mailing address
313 HICKORY KNL, HUBERT, NC 28539-4391
(443) 603-3694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
10/29/2019
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