Individual
DAVID J WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 E PARRISH AVE, BLDG D SUITE 100, OWENSBORO, KY 42303-1449
(270) 688-1770
(270) 688-1781
Mailing address
2200 E PARRISH AVE, BLDG D SUITE 100, OWENSBORO, KY 42303-1449
(270) 688-1770
(270) 688-1781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207T00000X
Neurological Surgery Physician
01060207A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200510920
—
IN
Enumeration date
06/16/2005
Last updated
11/20/2014
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