Individual
DR. GARY S WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1037
SC
111NS0005X
Sports Physician Chiropractor
Primary
1037
SC
111NX0800X
Orthopedic Chiropractor
1037
SC
Other
Enumeration date
12/12/2006
Last updated
09/11/2025
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