Individual
AEJA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10TH MDG, 4102 PINION DR, USAF ACADEMY, CO 80840
(719) 333-5292
Mailing address
10TH MDG, 4102 PINION DR, USAF ACADEMY, CO 80840
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101270792
VA
208D00000X
General Practice Physician
0101270792
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2019
Last updated
05/28/2025
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