MR. Justin Mark Weaver, PA-C

NPI #1245868496 in Dingmans Ferry, Pennsylvania

Provider Information

NPI Number: 1245868496
Entity Type: Individual
Name: MR. Justin Mark Weaver, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 31, 2020
Last Updated: Mar 31, 2020

Practice Location

Address: 1592 ROUTE 739
City: Dingmans Ferry
State: Pennsylvania
ZIP Code: 18328-3513
Phone: (570) 828-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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