R Wyatt Weaver Jr,m.d.

NPI #1831381813 in Angola, Indiana

Provider Information

NPI Number: 1831381813
Entity Type: Organization
Organization Name: R Wyatt Weaver Jr,m.d.
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 306 E MAUMEE ST
Address 2: STE 8
City: Angola
State: Indiana
ZIP Code: 46703-2038
Phone: (260) 665-1337

Authorized Official

Name: DR. R WYATT WEAVER JR., M.D.
Title: OWNER
Phone: (260) 665-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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