Organization
MARK WEIS, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. WEIS MD (OWNER)
(859) 280-3960
Entity
Organization
Contact information
Practice address
100 TRADE ST, STE C, LEXINGTON, KY 40511-2610
(859) 280-3960
(859) 231-1186
Mailing address
1676 ATOMA DR, LEXINGTON, KY 40511
(859) 280-3960
(859) 231-1186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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