Doctor Name: | JEFFREY J WEAVER |
NPI Number: | 1023071990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICIANS ASSISTANT |
License Number: | MA050959 |
Business Practice Address: | 126 E Church St Suite 2100 Somerset, PA - 155012271 |
Business Phone Number: | 8144431281 |
Business Fax Number: | 8144433214 |
Mailing Address: | 531 Shannon Dr, MOUNT PLEASANT |
State: | PA |
Postal Code: | 156662663 |
Phone Number: | 7243226527 |
Fax Number: | 8144433214 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA050959 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |