Jason Weaver

NPI #1053783068 in Caldwell, Idaho

Provider Information

NPI Number: 1053783068
Entity Type: Individual
Name: Jason Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 29, 2015
Last Updated: Oct 29, 2015

Practice Location

Address: 2609 S 10TH AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-6816
Phone: (208) 454-2771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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