Doctor Name: | DR. BARRY WEISS |
NPI Number: | 1831444306 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD60276038 |
Business Practice Address: | 10655 Ne 4th St Ste 310 Bellevue, WA - 980045035 |
Business Phone Number: | 4254498185 |
Business Fax Number: | |
Mailing Address: | 10655 Ne 4th St, Ste 310 BELLEVUE |
State: | WA |
Postal Code: | 980045035 |
Phone Number: | 4254498185 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2012 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD60276038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |