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Individual

PAUL DAVID WEINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
480 REDWOOD ST, SUITE 10, VALLEJO, CA 94590-2958
(707) 643-3687
(707) 643-3077
Mailing address
480 REDWOOD ST, SUITE 10, VALLEJO, CA 94590-2958
(707) 643-3687
(707) 643-3077

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3880
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E38800
CA
Enumeration date
01/04/2006
Last updated
03/02/2012
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