Organization
GERALD BRETT WEISS M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BRETT WEISS M.D. (DOCTOR/OWNER)
(760) 564-7444
Entity
Organization
Contact information
Practice address
47050 WASHINGTON ST, 4202, LA QUINTA, CA 92253-2629
(760) 564-7444
(760) 564-7422
Mailing address
47050 WASHINGTON ST, 4202, LA QUINTA, CA 92253-2629
(760) 564-7444
(760) 564-7422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G86691
CA
2084N0400X
Neurology Physician
G86691
CA
208VP0000X
Pain Medicine Physician
G86691
CA
Other
Enumeration date
09/26/2006
Last updated
05/17/2011
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