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Individual

JOHN WEAVER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35081749
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2420928
OH
Enumeration date
07/28/2005
Last updated
07/08/2007
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