Organization
AUDRAIN ORTHOPAEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L WEAVER M.D. (MANAGER)
(573) 582-0444
Entity
Organization
Contact information
Practice address
626 SUMMIT AVE., SUITE B, MEXICO, MO 65265
(573) 582-0444
(573) 582-0438
Mailing address
626 SUMMIT AVE., SUITE B, MEXICO, MO 65265
(573) 582-0444
(573) 582-0438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2000161967
MO
Other
Enumeration date
12/16/2005
Last updated
11/05/2007
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