Organization
OHIO MYOFASCIAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWIN WEAVER M.D. (PRESIDENT)
(800) 917-9085
Entity
Organization
Contact information
Practice address
158 WETHERBY LN, WESTERVILLE, OH 43081-4957
(800) 917-9085
Mailing address
PO BOX 21930, COLUMBUS, OH 43221-0930
(800) 917-9085
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
35.050156
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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