Individual
DR. DEREK SAMUEL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2935 ALLEN RD, SUNNYSIDE, WA 98944-8931
(509) 837-0070
(509) 837-0690
Mailing address
2935 ALLEN RD, SUNNYSIDE, WA 98944-8931
(509) 837-0070
(509) 837-0690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60139736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962660704
—
WA
Enumeration date
05/29/2008
Last updated
04/15/2026
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