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Organization
JORDAN WEAVER, M.D.,PLLC
Active
Organization
JORDAN WEAVER, M.D.,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J WEAVER MD (PRESIDENT)
(870) 793-2540
Entity
Organization
Contact information
Practice address
1995 HARRISON ST, BATESVILLE, AR 72501-7309
(870) 793-2540
Mailing address
1995 HARRISON ST, BATESVILLE, AR 72501-7309
(870) 793-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC-2756
AR
Other
Enumeration date
05/07/2010
Last updated
09/22/2010
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