Individual
LEON D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1161 OMEGA DR, HAGERSTOWN, MD 21740-5574
(301) 393-2600
(301) 393-2614
Mailing address
1161 OMEGA DR, HAGERSTOWN, MD 21740-5574
(301) 393-2600
(301) 393-2614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D57280
MD
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D57280
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
982000100
—
MD
Enumeration date
08/17/2005
Last updated
02/15/2013
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