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Individual

DR. ALVA B WEIR III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 606-0055
(901) 322-2947
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 606-0055
(901) 322-2947

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
14222
MS
207RH0003X
Hematology & Oncology Physician
Primary
MD9400
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00583292
MS
05
1508378
TN
01
1851413140
BCBS AR
AR
01
4210048
BCBS TN
TN
Enumeration date
04/06/2007
Last updated
07/21/2014
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