Individual
TRAVIS KING WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
(907) 743-7200
Mailing address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
(907) 743-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110541
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1646481
—
AK
Enumeration date
05/31/2016
Last updated
05/23/2024
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