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Individual

DR. TERRY DAVID WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1700 SOUTH LINCOLN AVENUE, VA MEDICAL CENTER, LEBANON, PA 17042
(717) 228-5952
(717) 228-5955
Mailing address
1700 SOUTH LINCOLN AVENUE, VA MEDICAL CENTER, LEBANON, PA 17042
(717) 228-5952
(717) 228-5955

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002516-L
PA

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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