MEDICARE: JANELLE L WEYER MD

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	207R00000X	Internal Medicine Physician	11109215-1205	UT
2	207R00000X	Internal Medicine Physician	64902	MN
3	207R00000X	Internal Medicine Physician	31826	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31826	OTHER	AZ	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770576597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE L WEYER MD

Provider Business Mailing Address
First Line	:	PO BOX 11773
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-0013
Country	:	US
Telephone Number	:	480-907-7707
Fax Number	:	480-907-7097

Provider Business Practice Location Address
First Line	:	3800 S ALMA SCHOOL RD
Second Line	:	SUITE 112
City	:	CHANDLER
State	:	AZ
Zip	:	85248-4499
Country	:	US
Telephone Number	:	480-907-7707
Fax Number	:

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	05/20/2025

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Directions to “ JANELLE L WEYER MD” Practice Location

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