Doctor Name: | LARRY W WEISS |
NPI Number: | 1194734194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20021 |
Business Practice Address: | 208 E Church St Suite 102 Marshalltown, IA - 501582961 |
Business Phone Number: | 6417529538 |
Business Fax Number: | 6417532190 |
Mailing Address: | 208 E Church St, Suite 102 MARSHALLTOWN |
State: | IA |
Postal Code: | 501582961 |
Phone Number: | 6417529538 |
Fax Number: | 6417532190 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207NP0225X |
License Number: | 20021 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Dermatology |
Taxonomy Specialization: | Pediatric Dermatology |
Taxonomy Definition: | A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |