Individual
MR. BRIAN M WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO/LPO
Contact information
Practice address
1151 W 5TH AVE, COLUMBUS, OH 43212-2529
(614) 291-6454
(614) 291-2874
Mailing address
1151 W 5TH AVE, COLUMBUS, OH 43212-2529
(614) 291-6454
(614) 291-2874
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
LPO203
OH
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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