Individual
JAMES R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.C.
Contact information
Practice address
3 HOSPITAL DR STE 100, LEWISBURG, PA 17837-9394
(570) 524-5056
(570) 524-5061
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02493570
—
NY
01
—
110055471
RR MEDICARE
—
Enumeration date
05/26/2006
Last updated
06/08/2022
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