Jeremy Allen Weaver, BS
NPI #1184301848 in Canon City, Colorado
Provider Information
- NPI Number
- 1184301848
- Entity Type
- Individual
- Name
- Jeremy Allen Weaver, BS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- BS
- Enumeration Date
- Jul 3, 2023
- Last Updated
- Jul 3, 2023
Practice Location
- Address
- 1435 MCKINLEY ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4453
- Phone
- (719) 280-3020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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