Individual
IRA WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9260 W SUNSET RD STE 201, LAS VEGAS, NV 89148-4903
(702) 389-5360
(702) 829-8420
Mailing address
PO BOX 93423, LAS VEGAS, NV 89193-3423
(702) 389-5360
(702) 389-5360
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9205
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002102788
NV HEALTH SOLUTIONS
NV
05
—
002102788
—
NV
01
—
0608272
AETNA
—
01
—
10339
PACIFICARE
—
01
—
1078320
UNITED HC
—
01
—
10979
NEVADACARE
NV
01
—
480029440
RR MEDICARE
—
01
—
8608645001
CULINARY
—
01
—
860864650
TAX ID
—
Enumeration date
11/02/2006
Last updated
11/28/2017
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