Individual
DR. JOHN H. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 N STATE ST, BELLINGHAM, WA 98225-5334
(360) 752-2865
(360) 647-8093
Mailing address
709 W ORCHARD DR, SUITE #4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00018985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130087
LABOR & INDUSTRIES (REG)
WA
01
—
06809
REGENCE BLUESHIELD
WA
01
—
080148650
RAILROAD MEDICARE
WA
05
—
1328608
—
WA
01
—
423898033
GROUP HEALTH COOPERATIVE
WA
01
—
8925051
LABOR & INDUSTRIES (CV)
WA
Enumeration date
06/10/2006
Last updated
07/21/2011
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