Organization
NEVADA SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T WEAVER DO (OWNER)
(417) 448-9698
Entity
Organization
Contact information
Practice address
800 S ASH ST, NEVADA, MO 64772-3223
(417) 448-3727
Mailing address
800 S ASH ST, NEVADA, MO 64772-3223
(417) 448-3727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007011040
MO
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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