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1801274600
MARK WEAVER
PHOENIX, AZ
NPI
1801274600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6063)
Enumeration Date
2015-05-12
Last Update Date
2015-05-12
Business Address
-- MARK WEAVER PA
4425 E AGAVE RD SUITE 148
PHOENIX, AZ 85044-0619
Phone number: 480-704-7546
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Mailing Address
-- MARK WEAVER PA
4425 E AGAVE RD SUITE 148
PHOENIX, AZ 85044-0619
Phone number: 480-704-7546
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