Individual
MR. JON FREDERICK WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA,CCC-A
Contact information
Practice address
1542S DIXON RD F, KOKOMO, IN 46902-7320
(765) 457-4261
(754) 455-2577
Mailing address
1542 S DIXON RD #F, KOKOMO, IN 46902-7320
(765) 457-4261
(765) 452-7655
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001956A
IN
Other
Enumeration date
07/28/2005
Last updated
11/19/2015
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