Organization
PAUL DAVID WEINER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE D WEINER (PRACTICE MANAGER)
(707) 643-3687
Entity
Organization
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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38800
—
CA
Enumeration date
03/20/2008
Last updated
03/02/2012
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