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Organization
MICHELLE WEAVER, MD, PLLC
Active
Organization
MICHELLE WEAVER, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WEAVER MD (OWNER)
(501) 812-7216
Entity
Organization
Contact information
Practice address
219 E CENTRAL ST, WARREN, AR 71671-3405
(501) 812-7216
Mailing address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
(501) 812-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
E-5904
AR
Other
Enumeration date
05/03/2010
Last updated
05/04/2010
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