NPI 1174534754

Jack Gilbert Weiss, CRNA

Practitioner Certified Registered Nurse Anesthetist Flagstaff, AZ

Practice location

Address: 77 W Forest Ave Suite 207, Flagstaff, AZ 86001-1479
Phone: (928) 773-2505
Fax: (928) 773-2504

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA0011 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registry record

NPI: 1174534754
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 5 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.