Individual
MARSHA M. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12541 FOSTER ST, SUITE 300, OVERLAND PARK, KS 66213-2630
(913) 317-3200
(913) 317-3218
Mailing address
901 E 104TH ST MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429792
KS
207Q00000X
Family Medicine Physician
2001005647
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424270A
—
KS
Enumeration date
07/14/2006
Last updated
02/27/2018
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