Individual
TERRY DAVID WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 N NEW BALLAS RD, SUITE 240, SAINT LOUIS, MO 63141-6857
(314) 567-5100
(314) 567-3387
Mailing address
522 N NEW BALLAS RD, SUITE 240, SAINT LOUIS, MO 63141-6857
(314) 567-5100
(314) 567-3387
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
34693
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118472
HEALTHLINK
MO
01
—
18210
BLUE CROSS BLUE SHIELD
MO
05
—
200860211
—
MO
01
—
3200024
UNITED HEALTH CARE
MO
01
—
5792081
AETNA
MO
01
—
A12730
MERCY
MO
01
—
A12740
GREAT WEST
MO
Enumeration date
03/31/2006
Last updated
09/13/2013
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