Individual
CARL P WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 700, PHOENIX, AZ 85013-4295
(602) 406-7048
(602) 406-7650
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
63942
AZ
207VM0101X
Maternal & Fetal Medicine Physician
D0050832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349451900
—
MD
01
—
LT 35 / 543699-01
BC / BS OF MD
MD
01
—
S186 / 0067
BLUECHOICE
MD
Enumeration date
07/03/2006
Last updated
11/06/2024
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