Individual
MARION M. WEICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1810 S CRISMON RD STE 191, MESA, AZ 85209-3900
(480) 393-0575
(480) 704-4019
Mailing address
3501 N SCOTTSDALE RD, STE 336, SCOTTSDALE, AZ 85251-5650
(480) 646-8444
(480) 646-8445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3479
AZ
363AM0700X
Medical Physician Assistant
3479
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305637
—
AZ
Enumeration date
04/19/2007
Last updated
08/13/2018
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