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Individual
ANDREW R WEAVER
Active
Individual
ANDREW R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-43797
KS
207R00000X
Internal Medicine Physician
94-09194
KS
208M00000X
Hospitalist Physician
Primary
04-43797
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201247320B
—
KS
Enumeration date
06/08/2017
Last updated
09/28/2020
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