Individual
BRETT RAY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5416 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 724-8980
Mailing address
5416 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 724-8980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4345
OK
Other
Enumeration date
11/19/2019
Last updated
03/15/2024
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