Individual
JOHN JOSEPH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-4644
(907) 228-8337
Mailing address
4N199 FOX MILL BLVD, SAINT CHARLES, IL 60175-7770
(630) 479-9503
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
219179
AK
2085R0202X
Diagnostic Radiology Physician
MD61549873
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
05/30/2024
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