Dr. MICHAEL JOHN WEAVER MD
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1720427974- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 775 POLE LINE RD W STE 203, TWIN FALLS, ID, 833015820
- Phone
- (208) 814-8300
- Fax
- (208) 933-4909
Specialties & Taxonomies
Internal Medicine, Gastroenterology
Primary License: ID #2271091
Internal Medicine, Gastroenterology
License: UT #12137545-1205
General Practice
License: MO #2015013524