Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 10-1177 | AZ |
NPI | 1033441340 |
---|---|
Provider Name | Dr. Susan Williamson Weirick |
First Address | Tempe, AZ 85282-4053 |
Second Address | Tempe, AZ 85282-4053 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2010 |
Last Update Date | 03/02/2016 |