Organization
ALLAN GARY WEISS DPM A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN GARY WEISS DPM DPM (OWNER)
(714) 628-1995
Entity
Organization
Contact information
Practice address
705 W LA VETA AVE STE 100, ORANGE, CA 92868-4447
(714) 628-1995
(714) 628-1983
Mailing address
705 W LA VETA AVE STE 100, ORANGE, CA 92868-4447
(714) 628-1995
(714) 628-1983
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1917
CA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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