Provider Demographics
NPI:1861440232
Name:WEISS, SCOTT S (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:S
Last Name:WEISS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:655 N ALVERNON WAY
Mailing Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC SUITE 216
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1823
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:6290 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5831
Practice Address - Country:US
Practice Address - Phone:520-547-3900
Practice Address - Fax:520-547-3904
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ20073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F01579Medicare UPIN