Individual
DAVID L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101034133
VA
2085R0202X
Diagnostic Radiology Physician
ME84643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010264405
—
VA
05
—
1689655771
—
VA
01
—
17354
BCBS
FL
05
—
264087100
—
FL
01
—
P00468522
RAILROAD MEDICARE PIN
VA
Enumeration date
11/07/2005
Last updated
06/05/2008
Update your record
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