Doctor Name: | DR. ROBERT GILLS WEINER |
NPI Number: | 1811236706 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 173978-1205 |
Business Practice Address: | 8609 Marmot Cir Park City, UT - 840986232 |
Business Phone Number: | 4353334800 |
Business Fax Number: | 4353334802 |
Mailing Address: | Po Box 981600, PARK CITY |
State: | UT |
Postal Code: | 840981600 |
Phone Number: | 4356407758 |
Fax Number: | 4353334802 |
NPI Enumeration Date: | 02/12/2013 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 173978-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |