Individual
PETER JAMES WEYFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(855) 768-6363
Mailing address
1924 W ROWEL RD, PHOENIX, AZ 85085-8944
(773) 294-8813
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
279708
AZ
367500000X
Certified Registered Nurse Anesthetist
28256185A
IN
390200000X
Student in an Organized Health Care Education/Training Program
28256185A
IN
Other
Enumeration date
09/08/2021
Last updated
10/01/2025
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