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Individual

ROURK THOMAS WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13605 W MAPLE ST, SUITE 105, WICHITA, KS 67235-8759
(316) 721-2220
(316) 721-2226
Mailing address
13605 W MAPLE ST, SUITE 105, WICHITA, KS 67235-8759
(316) 721-2220
(316) 721-2226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-05557
KS
111N00000X
Chiropractor
Primary
2012000070
MO

Other

Enumeration date
01/23/2012
Last updated
07/10/2013
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