Individual provider · Type 1 NPI

Zachary Crofford Weaver, PA-C

Surgical Physician Assistant · Edmonds, WA

NPI number 1013482892 Active

Practice location

21616 76th Ave W Ste 201A
Edmonds, WA 98026-7512

Fax (425) 673-3401

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60922697 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1013482892

Zachary Crofford Weaver, PA-C's National Provider Identifier is 1013482892, issued on Oct 9, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edmonds, WA. The record was last updated on Sep 18, 2020.