Wade W. Weisz O.D.

NPI 1083793681 - Optometrist - 152W00000X

NPI Details
NPI 1083793681
Gender Male
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11398 KENYON WAY STE C
ALTA LOMA CA, 91701-9229, US
Phone (909) 477-3211
Fax (909) 477-3213
Business Location
11398 KENYON WAY STE C
ALTA LOMA CA, 91701-9229, US
Phone (909) 477-3211
Fax (909) 477-3213
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 9966T
Remove 1083793681 NPI Number
 

According to our database, Dr. Wade W. Weisz O.D. NPI is 1083793681, taxonomy code is 152W00000X and license number is 9966T, license state is located at California. Wade W. Weisz O.D. physically located at 11398 Kenyon Way Ste C, Alta Loma CA, 91701-9229. NPI Number Wade W. Weisz O.D. has the Individual type.

Sponsored links

1083793681 NPI number is provided on an as is basis without warranty of any kind. 1083793681 is maintained by the National Plan & Provider Enumeration System. The contents of Wade W. Weisz O.D. are for informational purposes only.