Individual provider · Type 1 NPI
John Joseph Weaver, MD
Diagnostic Radiology Physician · Ketchikan, AK
NPI number
1164928685
Active
Practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Fax (907) 228-8337
Mailing address
4N199 Fox Mill Blvd
St. Charles, IL 60175-7770
Other practice locations
- 2900 N Lake Shore Dr, Chicago, IL 60657-5640 · (773) 665-6730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 219179 (AK) |
| Diagnostic Radiology Physician | 2085R0202X | MD61549873 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1164928685
John Joseph Weaver, MD's National Provider Identifier is 1164928685, issued on Apr 3, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ketchikan, AK. The record was last updated on May 30, 2024.