Individual
ROBERT J WIEBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
300 W CLARENDON AVE, SUITE 375, PHOENIX, AZ 85013-3498
(602) 277-4161
(602) 266-3481
Mailing address
300 W CLARENDON AVE, SUITE 375, PHOENIX, AZ 85013-3498
(602) 277-4161
(602) 266-3481
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
61753
AZ
Other
Enumeration date
08/30/2006
Last updated
10/26/2012
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