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Individual
DR. RYAN FRANK WEAVER
Active
Individual
DR. RYAN FRANK WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007854L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113820000
IBX / KHPE PROVIDER ID
PA
01
—
133869
BC/BS PROVIDER ID
PA
01
—
2672042
AETNA PROVIDER ID
PA
01
—
P3257006
OXFORD PROVIDER ID
PA
Enumeration date
02/21/2006
Last updated
01/17/2021
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