Provider Demographics
NPI:1902854383
Name:WEISEL, JEFFREY I (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:I
Last Name:WEISEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:SUITE A-100 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:514 E WHITEHOUSE CANYON RD
Practice Address - Street 2:STE. 110 ARIZONA COMMUNITY PHYSICIANS PC
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-0538
Practice Address - Country:US
Practice Address - Phone:520-625-3230
Practice Address - Fax:520-625-9162
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-12-16
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Provider Licenses
StateLicense IDTaxonomies
AZ28553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A44340Medicare UPIN