Individual
DR. JAMES L WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7250
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804261700
—
ID
01
—
P00213813
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
12/14/2018
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