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Individual

PAUL S WEINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Mailing address
18620 E CACTUS HILL RD, VAIL, AZ 85641-6212
(805) 712-6613

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G27031
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HS19IP
AK
05
HS19OP
AK
05
OOG270310
CA
Enumeration date
06/29/2006
Last updated
10/07/2015
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