Individual
DR. PETER D WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4921 PARKVIEW PL, STE 14B, SAINT LOUIS, MO 63110-1032
(314) 454-5580
(314) 454-5583
Mailing address
4921 PARKVIEW PL, STE 14B, SAINT LOUIS, MO 63110-1032
(314) 454-5580
(314) 454-5583
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036083922
IL
207RH0003X
Hematology & Oncology Physician
Primary
R6B22
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202359311
—
MO
Enumeration date
05/24/2005
Last updated
11/23/2015
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