Individual
JEFFREY WEISS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 WESTPOINT DR, B10, WASILLA, AK 99654-7142
(907) 357-2800
(907) 357-2801
Mailing address
851 E WESTPOINT DR, B10, WASILLA, AK 99654
(907) 357-2800
(907) 357-2801
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4222
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD09481
—
AK
Enumeration date
01/30/2006
Last updated
07/08/2007
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