Individual
NATHAN CHAD WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 CANYON RD STE 1, BULLHEAD CITY, AZ 86442-8624
(928) 444-1491
Mailing address
2500 CANYON RD STE 1, BULLHEAD CITY, AZ 86442-8624
(928) 444-1491
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT015752
PA
Other
Enumeration date
04/23/2014
Last updated
08/28/2020
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