Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED C WEAVER, OTC
ActiveMR. FRED C WEAVER, OTC is a Medical Laboratory Technician healthcare provider located in ALTUS, Oklahoma. NPI 1063610749 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · ALTUS, OK
Registration Details
- NPI Number
- 1063610749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2007 (19.066415207616 yrs)
- Last Updated
- Jul 8, 2007
- License
-
87-0658 (OK)
Practice Information
- Address
-
304 S PARK LNSUITE AALTUS, OK, 735215718Browse OK providers · Browse ZIP 73521
- Phone
- 5804777356
- Fax
- 5804827510
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.