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Individual

DR. JONATHAN BERMAN WEISBUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2210 ENCANTO DR NW, PHOENIX, AZ 85007-1518
(602) 528-3850
Mailing address
2210 ENCANTO DR NW, PHOENIX, AZ 85007-1518
(602) 528-3850

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
28814
AZ
2083P0901X
Public Health & General Preventive Medicine Physician
55581
MA
2083P0901X
Public Health & General Preventive Medicine Physician
G67210
CA

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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