Individual
DR. J. PETER WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 E MCDOWELL RD FL 4, PHOENIX, AZ 85006-2506
(602) 521-3090
(602) 521-3661
Mailing address
755 E MCDOWELL RD FL 4, PHOENIX, AZ 85006-2506
(602) 521-3090
(602) 521-3661
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5742146-1205
UT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
5742146-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504990
—
NV
05
—
120816100
—
WY
05
—
807031600
—
ID
05
—
D5862
—
UT
01
—
P00172961
RR MEDICARE
—
Enumeration date
03/14/2006
Last updated
10/21/2019
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