Individual
MARK ALAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 E WESTPOINT DR STE 310, WASILLA, AK 99654-7183
(907) 357-5400
(907) 357-5477
Mailing address
851 E WESTPOINT DR STE 310, WASILLA, AK 99654-7183
(907) 357-5400
(907) 357-5477
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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