Individual
DR. GORDON SCOTT WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
869 OAKWOOD RD, CHARLESTON, WV 25314-2057
(304) 343-5161
Mailing address
869 OAKWOOD RD, CHARLESTON, WV 25314-2057
(304) 343-5161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2677
WV
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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