David D Weaver
Clinical Genetics (M.D.)
975 W Walnut St Ib 130
Indianapolis
, Indiana 46202-5181
David D Weaver
Clinical Genetics (M.D.)
975 W Walnut St Ib 130
Indianapolis
, Indiana 46202-5181
(317) 274-4402
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- David D Weaver
- Po Box 44994
- Indianapolis, IN
- Zip : 46244-0994
- Phone : (317) 274-4402
Second Address
- David D Weaver
- 975 W Walnut St Ib 130
- Indianapolis, IN
- Zip : 46202-5181
- Phone : (317) 274-3966
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 01026914 | IN |
National Provider Identifier
| NPI | 1508822545 |
|---|---|
| Provider Name | David D Weaver |
| First Address | Indianapolis, IN 46244-0994 |
| Second Address | Indianapolis, IN 46202-5181 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 05/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100059190 | (05) | IN |
| C24296 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.