Individual
MR. RANDY S. WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3370 N. HAYDEN RD., #123-407, SCOTTSDALE, AZ 85251
(480) 947-1130
(480) 947-1132
Mailing address
3370 N. HAYDEN RD., #123-407, SCOTTSDALE, AZ 85251
(480) 947-1130
(480) 947-1132
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME65246
FL
207RP1001X
Pulmonary Disease Physician
ME65246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191243
AHCCCS - ARIZONA
AZ
05
—
272333600
—
FL
Enumeration date
12/19/2005
Last updated
01/27/2014
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