Individual
DR. AMANDA STEVENS WEAVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2175 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7024
(530) 543-5711
(530) 544-2503
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A123236
CA
Other
Enumeration date
11/22/2010
Last updated
07/16/2014
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