Individual
DANIEL T. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7212
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000003681
BCSB PIN
MT
01
—
0011152
MDCD PIN
MT
01
—
103311500
MDCD PIN
WY
01
—
307901
BCBS PIN
WY
Enumeration date
10/23/2006
Last updated
12/16/2014
Update your record
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