| Doctor Name: | DR. JUSTIN LOUIS WEPPNER |
| NPI Number: | 1487820437 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 0102202449 |
| Business Practice Address: | 545 Ray C Hunt Dr Suite 240 Charlottesville, VA - 229032981 |
| Business Phone Number: | 7032985391 |
| Business Fax Number: | |
| Mailing Address: | 339 Holly Hill Dr, BARBOURSVILLE |
| State: | VA |
| Postal Code: | 229239508 |
| Phone Number: | 7032985391 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2008 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102202449 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |