Individual
DR. VICTOR J. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7105 N LA CHOLLA BLVD, TUCSON, AZ 85741-3112
(520) 547-0611
(520) 547-0616
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 382-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
025541
LA
207Q00000X
Family Medicine Physician
Primary
34072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938920
—
AZ
01
—
P00435438
RAILROAD MEDICARE
AZ
Enumeration date
03/03/2006
Last updated
08/24/2020
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