Individual
KEITH WEISGERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
191544
AZ
261QM1300X
Multi-Specialty Clinic/Center
191544
AZ
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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