Individual
DR. MATTHEW A WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 400, SPRINGFIELD, MO 65807-5154
(417) 269-7900
(417) 269-7990
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 269-7900
(417) 269-7990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2009013838
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811124621
—
MO
05
—
200007803
—
MO
Enumeration date
06/18/2009
Last updated
12/27/2018
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