Individual
PHILLIP ALEXANDER WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMSC, PA-C
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 300, TUCSON, AZ 85741-3552
(520) 545-0953
(520) 545-0954
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(520) 742-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8012
AZ
Other
Enumeration date
06/15/2019
Last updated
08/23/2025
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