Most Relevant Information
Provider Data
| NPI Number: | 1003801481 |
| Provider Name: | MARK JUSTIN WEISS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 9126 |
Most Important Dates
| Enumeration Date: | 09/13/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1717 S UTICA AVE
STE 107
TULSA
OK
741045317
Practice Location Phone/Fax
| Phone: | 9187422428 |
| Fax: | 9187428435 |
Provider Mailing Location
1717 S UTICA AVE
STE 107
TULSA
OK
741045317
Provider Mailing Phone/Fax
| Phone: | 9187422428 |
| Fax: | 9187428435 |