Individual
CHRISTINE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
Mailing address
10131 S BELL CANYON RD, SANDY, UT 84092-4580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10564794-1206
UT
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/08/2017
Last updated
12/16/2021
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