Organization
DAVID J. WEIST, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J WEIST M.D. (OWNER)
(530) 243-0498
Entity
Organization
Contact information
Practice address
1100 BUTTE STREET, REDDING, CA 96001
(530) 243-0498
(530) 243-1309
Mailing address
P.O. BOX 994307, REDDING, CA 96099-4307
(530) 243-0498
(530) 243-1309
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A51285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A51285
CA STATE LICENSE #
CA
Enumeration date
10/03/2006
Last updated
08/22/2020
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