Individual
ALYSSA LYN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 FLORMANN ST, RAPID CITY, SD 57701-4679
(605) 744-3300
Mailing address
3703 BROWNING CT, RAPID CITY, SD 57703-8571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15711
SD
Other
Enumeration date
06/02/2021
Last updated
10/21/2024
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