# DR. JAMIE DREW WEINAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366972135
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 59481 | AZ | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | MD2019-0662 | NM | — |

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 01/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 284696 | MEDICAL LICENSE | MA |
| 01 | — | 59481 | MEDICAL LICENSE | AZ |
| 01 | — | CS00227635 | NEW MEXICO CONTROLLED SUBSTANCE LICENSE | NM |
| 01 | — | MD2019-0662 | NEW MEXICO MEDICAL LICENSE | NM |