NPI 1164928685

John Joseph Weaver, MD

Practitioner Diagnostic Radiology Physician Ketchikan, AK

Practice location

Address: 3100 Tongass Ave, Ketchikan, AK 99901-5746
Phone: (907) 228-4644
Fax: (907) 228-8337
Mailing address: 4n199 Fox Mill Blvd, Saint Charles, IL 60175-7770

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 219179 (AK)

Other Radiology providers in Alaska →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD61549873 (WA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Alaska →

Registry record

NPI: 1164928685
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2018
Record last updated: 30 May 2024

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.