Individual
MR. DANIEL CLINE WEAVER
Active
Individual
MR. DANIEL CLINE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
11232
AK
225100000X
Physical Therapist
Primary
896
AK
Other
Enumeration date
01/29/2007
Last updated
08/20/2007
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