Individual
DAVID L WEAVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W GARRIOTT RD, ENID, OK 73701-5524
(580) 977-1903
(580) 548-1434
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 977-1903
(580) 548-1434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23176
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100845660A
—
OK
Enumeration date
07/20/2005
Last updated
02/12/2018
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