Individual
MRS. OLIVIA PAIGE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
Mailing address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2024028622
MO
Other
Enumeration date
04/20/2023
Last updated
07/19/2024
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