Individual
GLENDA WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13232 N TATUM BLVD, PHOENIX, AZ 85032-6459
(602) 541-9263
Mailing address
8390 E VIA DE VENTURA, SUITE F 110, SCOTTSDALE, AZ 85258-3188
(602) 541-9263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36289
AZ
207R00000X
Internal Medicine Physician
ME0067130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221799
—
AZ
Enumeration date
07/06/2006
Last updated
10/27/2011
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