Individual
AVI WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150N TENAYA WAY 165, LAS VEGAS, NV 89128-0462
(702) 877-0814
(702) 877-3238
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-0814
(702) 887-3238
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
125-050007
IL
208800000X
Urology Physician
Primary
13116
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497977334
—
NV
Enumeration date
05/02/2007
Last updated
11/25/2015
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