Provider Demographics
NPI:1942553433
Name:CHRISTOPHER W WEYER DO PC
Entity Type:Organization
Organization Name:CHRISTOPHER W WEYER DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-977-4747
Mailing Address - Street 1:150 S CORONADO DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-6352
Mailing Address - Country:US
Mailing Address - Phone:520-458-1787
Mailing Address - Fax:520-458-1519
Practice Address - Street 1:150 S CORONADO DR STE 110
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-6352
Practice Address - Country:US
Practice Address - Phone:520-458-1787
Practice Address - Fax:520-458-1519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-21
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ006021207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty