Organization
MARY A WEAVER
Active
Organization
MARY A WEAVER
Active
Other names
Diabetic Shoe Company LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A WEAVER (OWNER)
(303) 215-5118
Entity
Organization
Contact information
Practice address
15400 W 44TH AVE, GOLDEN, CO 80403-7226
(303) 215-5118
(303) 215-5116
Mailing address
PO BOX 16724, GOLDEN, CO 80402-6012
(303) 215-5118
(303) 215-5116
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
04/20/2008
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