Provider Demographics
NPI:1447250824
Name:WEIR, JANET E (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:E
Last Name:WEIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:E
Other - Last Name:DESPOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1901 S UNION AVE
Mailing Address - Street 2:STE B6010
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1702
Mailing Address - Country:US
Mailing Address - Phone:253-383-4721
Mailing Address - Fax:253-627-4296
Practice Address - Street 1:1901 S UNION AVE
Practice Address - Street 2:STE B6010
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1702
Practice Address - Country:US
Practice Address - Phone:253-383-4721
Practice Address - Fax:253-627-4296
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60051240207K00000X
OH35055128207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology