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Individual

JOHN S WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4600 HALE PKWY STE 340, DENVER, CO 80220-4000
(303) 280-0900
(303) 280-3858
Mailing address
4600 HALE PKWY STE 340, DENVER, CO 80220-4000
(303) 280-0900
(303) 280-3858

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0048688
CO
208600000X
Surgery Physician
062175
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19726881
CO
Enumeration date
01/26/2007
Last updated
01/26/2022
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