Individual
ETHEL JENNIFER WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972663
—
AZ
01
—
P00413358
RAILROAD MEDICARE
AZ
Enumeration date
05/03/2006
Last updated
10/31/2007
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