FRED C WEAVER

ALTUS, OK
NPI1063610749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: OK  87-0658)
Enumeration Date2007-07-05
Last Update Date2007-07-08
Business Address
Mr. FRED C WEAVER OTC
304 S PARK LN SUITE A
ALTUS, OK 73521-5718
Phone number: 580-477-7356
Mailing Address
Mr. FRED C WEAVER OTC
304 S PARK LN SUITE A
ALTUS, OK 73521-5718
Phone number: 580-477-7356