Individual provider · Type 1 NPI

Leroy D. Weaver Jr., MD

Diagnostic Radiology Physician · Mishawaka, IN

NPI number 1710950258 Active

Practice location

620 W Edison Rd, Ste 110
Mishawaka, IN 46545-2784

Call (574) 258-1100 Map

Fax (574) 258-1101

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X01060476A (IN)
Body Imaging Physician 2085B0100X01060476A (IN)
Neuroradiology Physician 2085N0700X01060476A (IN)
Nuclear Radiology Physician 2085N0904X01060476A (IN)
Pediatric Radiology Physician 2085P0229X01060476A (IN)
Therapeutic Radiology Physician 2085R0203X01060476A (IN)
Vascular & Interventional Radiology Physician 2085R0204X01060476A (IN)
Diagnostic Ultrasound Physician 2085U0001X01060476A (IN)

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 1710950258

Leroy D. Weaver Jr., MD's National Provider Identifier is 1710950258, issued on Feb 7, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mishawaka, IN. The record was last updated on May 16, 2013.