Alec Weaver

NPI #1245735034 in Chubbuck, Idaho

Provider Information

NPI Number
1245735034
Entity Type
Individual
Name
Alec Weaver
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Mar 26, 2018
Last Updated
Mar 26, 2018

Practice Location

Address
5469 CALEN LN
State
Idaho
ZIP Code
83202-5099
Phone
(208) 313-6913

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Specialist/Technologist - Athletic TrainerAthletic Trainer

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