Individual
DR. GARY MITCHELL WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19565
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612821
—
AZ
Enumeration date
11/18/2005
Last updated
07/23/2020
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