Individual
DR. CHARLES H WEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-8600
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-31005
KS
207Q00000X
Family Medicine Physician
Primary
DO1825
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629021795
SMA MEDICAID
NV
05
—
200383230
—
KS
Enumeration date
05/18/2006
Last updated
12/16/2024
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