| NPI | 1184612335 |
|---|---|
| Former Legal Business Name | WEAVER PODIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BROOKE WEAVER Practice Administrator 316-269-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-05-02 |