Individual
CONNIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 N BOWES RD, TUCSON, AZ 85749-8589
(520) 584-7910
(520) 584-7001
Mailing address
5000 N BOWES RD, TUCSON, AZ 85749-8589
(520) 584-7910
(520) 584-7001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0005
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
AZ
Enumeration date
12/16/2014
Last updated
12/16/2014
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