Individual
DR. ANDREW L. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7709
(573) 556-1709
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7709
(573) 556-1709
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2003010765
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564700
HEALTHLINK
MO
01
—
175312
GHP
MO
01
—
179933
BCBS
MO
05
—
208382309
—
MO
01
—
CC7852
RAILROAD GROUP
MO
01
—
P00033637
MEDICARE RAILROAD
MO
Enumeration date
03/22/2006
Last updated
08/07/2008
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