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Jack Eugene Weaver, MD
Interventional Pain Medicine Physician in Muskogee, Oklahoma
NPI 1902802101

Jack Eugene Weaver is a Interventional Pain Medicine Physician based in Muskogee, OK and is specialized in Interventional Pain Medicine. Jack Eugene Weaver practices in Muskogee, OK and has the professional credentials of MD. The NPI Number for Jack Eugene Weaver is 1902802101 and holds a License No. 19721 (Oklahoma).

The current practice location address for Jack Eugene Weaver is 209 S 36Th St, Muskogee, OK and can be reached out via phone at 918-682-7717 and via fax at 918-682-9434. You can also correspond with Jack Eugene Weaver through the mailing address at 209 S 36TH ST, MUSKOGEE, OK - 74401-5043 (mailing address contact number: 918-682-7717).

Location: 209 S 36Th St, Muskogee, OK, 74401-5043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902802101
Provider Name
Jack Eugene Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
209 S 36Th St, Muskogee, OK, 74401-5043
Phone Number
918-682-7717
Fax Number
918-682-9434
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100088830A 05 OK
1841508918 01 OK GROUP NPI
institution
Provider Business Practice Location Address Details
Address
209 S 36Th St
City
Muskogee
State
Oklahoma
Zip
74401-5043
Phone Number
918-682-7717
Fax Number
918-682-9434
person
Provider Business Mailing Address Details
Address
209 S 36Th St
City
Muskogee
State
Oklahoma
Zip
74401-5043
Phone Number
918-682-7717
Fax Number
918-682-9434
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
19721 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
19721 (Oklahoma)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
19721 (Oklahoma)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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