Individual
MRS. ERIN MARIE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004021591
MO
Other
Enumeration date
02/01/2006
Last updated
08/18/2023
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