Individual
TIMOTHY MASON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 E MARKET AVE, SEARCY, AR 72149-5615
(501) 278-6825
Mailing address
807 W CENTER AVE, SEARCY, AR 72143-5237
(501) 278-6825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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