Paul Gerald Weaver DO

NPI 1053311191 - Neuromusculoskeletal Medicine & OMM - 204D00000X

NPI Details
NPI 1053311191
Gender Male
Enumeration Date 07/29/2005
Last Updated 04/28/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1275 WALLACE RD NW
SALEM OR, 97304-3007, US
Phone (503) 371-3232
Fax (503) 375-2398
Business Location
1275 WALLACE RD NW
SALEM OR, 97304-3007, US
Phone (503) 371-3232
Fax (503) 375-2398
Toxanomy
Taxonomy Code 204D00000X
License State Oregon
License Number DO16350
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According to our database, Paul Gerald Weaver DO NPI is 1053311191, taxonomy code is 204D00000X and license number is DO16350, license state is located at Oregon. Paul Gerald Weaver DO physically located at 1275 Wallace Rd Nw, Salem OR, 97304-3007. NPI Number Paul Gerald Weaver DO has the Individual type.

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1053311191 NPI number is provided on an as is basis without warranty of any kind. 1053311191 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Gerald Weaver DO are for informational purposes only.