Individual
DOUGLAS THORNTON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3808 EASTERN AVE, BALTIMORE, MD 21224-4221
(443) 955-2218
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(443) 955-2218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01908
MD
Other
Enumeration date
06/06/2011
Last updated
05/24/2012
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