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Individual

MR. JAMES J WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.R.N. BC

Contact information

Practice address
1115 N BELT HWY, SAINT JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421
Mailing address
1115 N BELT HWY, SAINT JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
146643
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425786704
MO
05
596074500
MO
Enumeration date
06/16/2005
Last updated
03/17/2018
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