Individual
DR. JORDAN A WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 400, PHOENIX, AZ 85013-4238
(602) 406-3874
(602) 406-2335
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28773
AZ
2086S0102X
Surgical Critical Care Physician
28773
AZ
2086S0127X
Trauma Surgery Physician
Primary
28773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937397
—
AL
05
—
009937398
—
AL
Enumeration date
04/21/2006
Last updated
12/10/2024
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