Individual
CASEY MICHELLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1110 W KINGSHIGHWAY, PARAGOULD, AR 72450-4164
(870) 205-2000
(870) 205-2029
Mailing address
180 GREENE 7502 RD, PARAGOULD, AR 72450-6275
(870) 219-5808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2012005135
MO
363A00000X
Physician Assistant
Primary
PA-495
AR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/15/2012
Last updated
07/10/2024
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