Individual
DR. ROGER M WEISS
Active
Individual
DR. ROGER M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
054629
CO
2084N0400X
Neurology Physician
34006137W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328351
ANTHEM BLUECROSS/BLUESHEI
OH
05
—
0164610
—
OH
01
—
025996
KAISER COMMERCIAL NUMBER
CO
01
—
341097565RW
SUMMACARE
OH
01
—
729708
BUCKEYE COMMUNITY HEALTH
OH
05
—
91606713
—
CO
01
—
P00140783
RAILROAD MEDICARE
OH
Enumeration date
04/10/2006
Last updated
11/26/2018
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