Individual
BARRY EVAN WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3939 J STREET #270, STE 270, SACRAMENTO, CA 95819-5542
(916) 454-3668
(916) 454-9255
Mailing address
3939 J STREET, STE 270, SACRAMENTO, CA 95819-5542
(916) 454-3668
(916) 454-9255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E24590
—
CA
Enumeration date
08/22/2005
Last updated
04/30/2008
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