Individual
DR. JEFFREY R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 RIVERDALE CR, VERDI, NV 89439-0000
(518) 944-8542
Mailing address
PO BOX 1226, VERDI, NV 89439-1226
(518) 944-8542
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14649
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2786
AMC ID
—
Enumeration date
09/26/2008
Last updated
12/30/2014
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