Individual
PAUL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A., B.S.
Contact information
Practice address
518 S 5TH ST, LARAMIE, WY 82070-3735
(307) 871-2241
Mailing address
518 S 5TH ST, LARAMIE, WY 82070-3735
(307) 871-2241
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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