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Individual

VICTORIA WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1512 N VERCLER RD, #201, SPOKANE VALLEY, WA 99216-1087
(509) 921-6611
(509) 921-6613
Mailing address
1215 N MCDONALD ROAD, #101, SPOKANE VALLEY, WA 99216
(509) 924-1950
(509) 921-0017

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033982
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1099191
WA
01
110253
L & I
WA
Enumeration date
04/25/2006
Last updated
06/27/2017
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