Individual
MARY A WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15400 W 44TH AVE, GOLDEN, CO 80403-7226
(303) 215-5118
(303) 215-5116
Mailing address
PO BOX 16724, GOLDEN, CO 80402-6012
(303) 215-5118
(303) 215-5116
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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