Individual
BROOKE REBA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2835 FRED TAYLOR DR STE 2000, COLUMBUS, OH 43202-1552
(614) 293-3600
(614) 293-2910
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-3600
(614) 293-2910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003817RX
OH
363AM0700X
Medical Physician Assistant
50.003817RX
OH
Other
Enumeration date
11/05/2013
Last updated
10/07/2024
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