CASEY MICHELLE WEAVER PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1518230929- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 1110 W KINGSHIGHWAY, PARAGOULD, AR, 724504164
- Phone
- (870) 205-2000
- Fax
- (870) 205-2029
Specialties & Taxonomies
Physician Assistant
License: MO #2012005135
Physician Assistant
Physician Assistant
Primary License: AR #PA-495