Individual
DR. JOHN EARLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1760 WILSHIRE DR, APTOS, CA 95003-2836
(831) 274-2464
Mailing address
1760 WILSHIRE DR, APTOS, CA 95003-2836
(831) 274-2464
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A19828
CA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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