Individual
BERT EVANS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 ROBINS DR, LAYTON, UT 84041-1140
(801) 779-3001
(801) 774-6100
Mailing address
451 BRUCE ST APT E, CLEARFIELD, UT 84015-2138
(801) 776-0358
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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