Individual
ALISON WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1402
Mailing address
10621 CHURCHILL DR, POWELL, OH 43065-8629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-011113
OH
207P00000X
Emergency Medicine Physician
34.011113
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2011
Last updated
03/17/2018
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