Individual
ERIC WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 TAMAL PLZ STE 180, CORTE MADERA, CA 94925-1131
(628) 261-7040
Mailing address
300 TAMAL PLZ STE 180, CORTE MADERA, CA 94925-1131
(628) 261-7040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A182212
CA
390200000X
Student in an Organized Health Care Education/Training Program
W-160-234-288-308
MD
Other
Enumeration date
12/28/2016
Last updated
07/10/2023
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