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Individual

JEFFREY J WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIANS ASSISTANT

Contact information

Practice address
126 E CHURCH ST, SUITE 2100, SOMERSET, PA 15501-2271
(814) 443-1281
(814) 443-3214
Mailing address
531 SHANNON DR, MOUNT PLEASANT, PA 15666-2663
(724) 322-6527
(814) 443-3214

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA00970
PA
363AS0400X
Surgical Physician Assistant
MA050959
PA

Other

Enumeration date
04/10/2006
Last updated
07/01/2013
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