JACK GILBERT WEISS

FLAGSTAFF, AZ
NPI1174534754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  CRNA0011)
Enumeration Date2006-08-10
Last Update Date2008-02-05
Business Address
-- JACK GILBERT WEISS CRNA
77 W FOREST AVE SUITE 207
FLAGSTAFF, AZ 86001-1479
Phone number: 928-773-2505
Mailing Address
-- JACK GILBERT WEISS CRNA
77 W FOREST AVE SUITE 207
FLAGSTAFF, AZ 86001-1479
Phone number: 928-773-2505
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