Individual
MARK JASON WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
006886
AZ
208000000X
Pediatrics Physician
125062832
IL
Other
Enumeration date
03/22/2013
Last updated
09/06/2016
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