Individual
HOWARD A WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ALBERT CREE DR, RUTLAND, VT 05701
(802) 786-1400
(802) 786-1405
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 786-1405
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042-0004441
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004728
—
VT
01
—
04728
BCBS
VT
01
—
10138
MVP
—
01
—
1752688
CIGNA
—
Enumeration date
04/25/2006
Last updated
03/25/2019
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