Dr. Russell Everette Weaver
Periodontist
8035 Madison Ave Suite E-4
Citrus Heights
, California 95610-7949
Dr. Russell Everette Weaver
Periodontist
8035 Madison Ave Suite E-4
Citrus Heights
, California 95610-7949
(916) 965-3524
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Russell Everette Weaver
- 8035 Madison Ave Suite E-4
- Citrus Heights, CA
- Zip : 95610-7949
- Fax : (916) 965-3524
- Phone : (916) 965-1200
Second Address
- Dr. Russell Everette Weaver
- 8035 Madison Ave Suite E-4
- Citrus Heights, CA
- Zip : 95610-7949
- Fax : (916) 965-3524
- Phone : (916) 965-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 28256 | CA |
National Provider Identifier
| NPI | 1003917204 |
|---|---|
| Provider Name | Dr. Russell Everette Weaver |
| First Address | Citrus Heights, CA 95610-7949 |
| Second Address | Citrus Heights, CA 95610-7949 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 24/06/2015 |
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.