MEDICARE: AMY WEIERMAN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085-003299	IL
2	363A00000X	Physician Assistant	5368	AZ

General Provider Information

NPI Number	:	1447409305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY WEIERMAN PA-C

Provider Business Mailing Address
First Line	:	698 E WETMORE RD STE 310
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1752
Country	:	US
Telephone Number	:	520-207-3100
Fax Number	:	520-777-7634

Provider Business Practice Location Address
First Line	:	698 E WETMORE RD STE 310
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1752
Country	:	US
Telephone Number	:	520-207-3100
Fax Number	:	520-777-7634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	11/19/2024

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Directions to “ AMY WEIERMAN PA-C” Practice Location

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