Jeffrey Lee Weaver PA-C, MMS

NPI 1306005897 - Physician Assistant - 363AM0700X

NPI Details
NPI 1306005897
Gender Male
Enumeration Date 06/09/2008
Last Updated 07/15/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
725 W LOMBARD ST
SUITE 163 B
BALTIMORE MD, 21201-1009, US
Phone (410) 706-2125
Fax (410) 706-3243
Business Location
PO BOX 64442
BALTIMORE MD, 21264-4442, US
Phone (410) 706-2125
Fax (410) 706-3243
Toxanomy
Taxonomy Code 363AM0700X
License State Maryland
License Number C03641
Remove 1306005897 NPI Number
 

According to our database, Mr. Jeffrey Lee Weaver PA-C, MMS NPI is 1306005897, taxonomy code is 363AM0700X and license number is C03641, license state is located at Maryland. Jeffrey Lee Weaver PA-C, MMS physically located at 725 W Lombard St, Baltimore MD, 21201-1009. NPI Number Jeffrey Lee Weaver PA-C, MMS has the Individual type.

Sponsored links

1306005897 NPI number is provided on an as is basis without warranty of any kind. 1306005897 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Lee Weaver PA-C, MMS are for informational purposes only.