Individual
DR. JASON WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 521-5100
(623) 707-4243
Mailing address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5100
(623) 707-4243
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R71537
AZ
208C00000X
Colon & Rectal Surgery Physician
Primary
50801
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263364
—
AZ
01
—
50801
MEDICAL LICENSE AZ
AZ
01
—
Z201703
MEDICARE
AZ
Enumeration date
06/23/2009
Last updated
11/11/2022
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