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John Joseph Weaver, MD
Student in an Organized Health Care Education/Training Program in Ketchikan, Alaska
NPI 1164928685

John Joseph Weaver is a Student in an Organized Health Care Education/Training Program based in Saint Charles, AK. John Joseph Weaver practices in Ketchikan, AK and has the professional credentials of MD. The NPI Number for John Joseph Weaver is 1164928685 and holds a License No. 219179 (Alaska).

The current practice location address for John Joseph Weaver is 3100 Tongass Ave, Ketchikan, AK and can be reached out via phone at 907-228-4644 and via fax at 907-228-8337.

Location: 3100 Tongass Ave, Ketchikan, AK, 60175-7770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164928685
Provider Name
John Joseph Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3100 Tongass Ave, Ketchikan, AK, 60175-7770
Phone Number
907-228-4644
Fax Number
907-228-8337
Provider Enumeration Date
04/03/2018
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
3100 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5746
Phone Number
907-228-4644
Fax Number
907-228-8337
person
Provider Business Mailing Address Details
Address
3100 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5746
Phone Number
907-228-4644
Fax Number
907-228-8337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD61549873 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
219179 (Alaska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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