Individual
MATTHEW J WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-0555
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004159
VA
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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