Individual
LARRY W WEISS
Active
Individual
LARRY W WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20021
IA
207NP0225X
Pediatric Dermatology Physician
20021
IA
207NS0135X
Procedural Dermatology Physician
20021
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123562
—
IA
Enumeration date
08/07/2006
Last updated
10/01/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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