Individual
MYISSA B. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-2345
(505) 272-2374
Mailing address
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-2374
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12985207-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD2024-0409
NM
Other
Enumeration date
03/29/2021
Last updated
06/21/2024
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