# ADAM WEIDENHAMMER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316421480
- **Authorized official:** ADAM DAVID WEIDENHAMMER MD (OWNER/PHYSIATRIST)
- **Authorized official phone:** (301) 807-4627

## Contact information

- **Practice address:** 1921 W HOSPITAL DR, TUCSON, AZ 85704-7806
- **Practice address phone:** (520) 742-2800
- **Mailing address:** 1925 W RIVER RD APT 1307, TUCSON, AZ 85704-1617
- **Mailing address phone:** (301) 807-4627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 10/19/2018