Individual
DR. DOUGLAS E WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
7100 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-3688
(505) 883-5858
(505) 883-0010
Mailing address
7100 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-3688
(505) 883-5858
(505) 883-0010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
540
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K7060
—
NM
Enumeration date
11/30/2006
Last updated
04/10/2012
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