R WYATT WEAVER JRM.D. NPI 1831381813

NPI Information

R WYATT WEAVER JR,M.D. is a family medicine in Angola, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R WYATT WEAVER JR,M.D. NPI is 1831381813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

306 E MAUMEE ST
STE 8
ANGOLA, IN
ZIP 46703-038
Phone: (260) 665-1337

The provider's authorized official is R Wyatt Weaver .
The authorized official title is Owner and has the following contact phone number (260) 665-1337.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 8/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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