Organization
ALLAN N. WEISSMAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANNE DUDLEY (OFFICE MANAGER)
(360) 876-9158
Entity
Organization
Contact information
Practice address
1950 POTTERY AVE STE 20, PORT ORCHARD, WA 98366-2590
(360) 846-9158
(360) 876-9220
Mailing address
1950 POTTERY AVE STE 20, PORT ORCHARD, WA 98366-2590
(360) 846-9158
(360) 876-9220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00012489
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038579
—
WA
Enumeration date
11/29/2007
Last updated
11/29/2007
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