| William Todd Weiss M D | |
|
6401 Poplar Ave Suite 270 Memphis TN 38119-4823 | |
| (901) 766-1967 | |
| Not Available |
| Full Name | William Todd Weiss M D |
|---|---|
| Speciality | Internal Medicine |
| Location | 6401 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | William Todd Weiss (OWNER) |
| Authorized Official Contact | 9017661967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Todd Weiss M D 6401 Poplar Ave Suite 270 Memphis TN 38119-4823 Ph: (901) 766-1967 | William Todd Weiss M D 6401 Poplar Ave Suite 270 Memphis TN 38119-4823 Ph: (901) 766-1967 |
| NPI Number | 1720235021 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 05/17/2016 |
| Medicare PECOS PAC ID | 8820166457 |
|---|---|
| Medicare Enrollment ID | O20081008000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720235021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD021817 (Tennessee) | Primary |
| Provider Name | William T Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386713808 PECOS PAC ID: 8325934755 Enrollment ID: I20081008000735 |
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