Individual
DR. SAVANNAH GELESKO WEEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DDS
Contact information
Practice address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Mailing address
1441 N 12TH ST FL 3, HEAD AND NECK INSTITUTE, PHOENIX, AZ 85006-2837
(602) 521-5150
(602) 521-5151
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54225
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2022-03116
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
54225
AZ
Other
Enumeration date
05/18/2010
Last updated
01/23/2023
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