Individual
DAVID D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-3966
(317) 968-1354
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
01026914
IN
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
01026914A
IN
208000000X
Pediatrics Physician
01026914A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059190
—
IN
Enumeration date
04/26/2006
Last updated
02/21/2025
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