Individual
ALEXIS L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8900
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063426
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063426
STATE LICENSE
PA
Enumeration date
01/15/2022
Last updated
06/09/2022
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