KRISTINE A WEAVER-MILLER

PRESCOTT, AZ
NPI1962459040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  4309)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: UT  5179956-1205)
363AM0700X Physician Assistant, Medical
(Licence: CO  3135)
Enumeration Date2006-05-27
Last Update Date2019-11-05
Business Address
KRISTINE A WEAVER-MILLER PA
811 AINSWORTH DR STE 109
PRESCOTT, AZ 86301
Phone number: 928-771-5595
Mailing Address
KRISTINE A WEAVER-MILLER PA
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 928-759-5987