Individual
DR. DAVID G WEISMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
(702) 992-6880
Mailing address
PO BOX 516558, LOS ANGELES, CA 90051-0596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16710
NV
207Q00000X
Family Medicine Physician
9600771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80106303
RAILROAD MEDICARE
NC
01
—
86377
BCBS NC
NC
05
—
8986377
—
NC
Enumeration date
11/25/2005
Last updated
05/26/2020
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