Gerald E Weaver MD PC

NPI #1710214036 in Worland, Wyoming

Provider Information

NPI Number: 1710214036
Entity Type: Organization
Organization Name: Gerald E Weaver MD PC
Primary Specialty: Exclusive Provider Organization
Enumeration Date: Nov 6, 2009
Last Updated: Nov 6, 2009

Practice Location

Address: 1511 CHARLES AVE
City: Worland
State: Wyoming
ZIP Code: 82401-4122
Phone: (307) 347-2405

Authorized Official

Name: DR. GERALD E WEAVER, MD
Title: OWNER
Phone: (307) 347-2405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Exclusive Provider Organization	302F00000X	Primary

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