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Individual

DR. SAM WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
338 SW MAIN ST, LEES SUMMIT, MO 64063-2340
(816) 600-5483
(816) 524-5328
Mailing address
8345 RENNER BLVD APT 3416, LENEXA, KS 66219-3068
(816) 808-2539

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-06112
KS
111N00000X
Chiropractor
Primary
2020013203
MO

Other

Enumeration date
06/29/2020
Last updated
05/08/2025
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