| Tucson Weight Loss Surgery | |
|
1712 W Anklam Rd Ste 101 Tucson AZ 85745-2660 | |
| (520) 207-2384 | |
| Not Available |
| Full Name | Tucson Weight Loss Surgery |
|---|---|
| Speciality | Surgery |
| Location | 1712 W Anklam Rd Ste 101, Tucson, Arizona |
| Authorized Official Name and Position | Matthew Weiner (OWNER) |
| Authorized Official Contact | 2488352997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Weight Loss Surgery 1712 W Anklam Rd Ste 101 Tucson AZ 85745-2660 Ph: () - | Tucson Weight Loss Surgery 1712 W Anklam Rd Ste 101 Tucson AZ 85745-2660 Ph: (520) 207-2384 |
| NPI Number | 1265149488 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 9234594649 |
|---|---|
| Medicare Enrollment ID | O20230508000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265149488 | NPI | - | NPPES |
| Provider Name | Bether R Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275897365 PECOS PAC ID: 6608020268 Enrollment ID: I20130206000491 |
| Provider Name | Deidre E Schodroski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417345547 PECOS PAC ID: 7315263688 Enrollment ID: I20150303002496 |
| Provider Name | Billi Jo Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314420 PECOS PAC ID: 6204145923 Enrollment ID: I20151020003083 |
| Provider Name | Guillermo Higa Sansone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871763540 PECOS PAC ID: 1557553674 Enrollment ID: I20181009002881 |
| Provider Name | Matthew Jeremy Weiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053383463 PECOS PAC ID: 7618994898 Enrollment ID: I20190326001664 |
| Provider Name | Jenifer Trefois Seidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801664008 PECOS PAC ID: 8921441346 Enrollment ID: I20240213001013 |
| Provider Name | Anali Martinez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326873589 PECOS PAC ID: 3476086943 Enrollment ID: I20241023002198 |
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