Whalio Doctors

NPI 1710214036

Gerald E Weaver MD PC

Organisation Exclusive Provider Organization Worland, WY

Practice location

Address
1511 Charles Ave, Worland, WY 82401-4122
Phone
(307) 347-2405
Fax
(307) 347-3166

Authorised official

Name
Gerald E Weaver
Title
Owner
Phone
(307) 347-2405

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 5731A (WY)

Registry record

NPI
1710214036
Entity type
Organization
NPI issued
6 Nov 2009
Record last updated
6 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.