Individual provider · Type 1 NPI

Jeffrey Lee Weaver, PA-C, MMS

Medical Physician Assistant · Baltimore, MD

NPI number 1306005897 Active

Practice location

725 W Lombard St, Suite 163 B
Baltimore, MD 21201-1009

Fax (410) 706-3243

Mailing address

PO Box 64442
Baltimore, MD 21264-4442

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC03641 (MD)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1306005897

Jeffrey Lee Weaver, PA-C, MMS's National Provider Identifier is 1306005897, issued on Jun 9, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 15, 2010.