Individual
AMANDA SYDNEY WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 NE 13TH ST, OKLAHOMA CITY, OK 73104-5001
(405) 271-6110
Mailing address
800 STANTON L YOUNG BLVD # 6300, OKLAHOMA CITY, OK 73104-5018
(405) 271-5963
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38110
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2021
Last updated
07/06/2022
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