Jason Weaver

Physician Assistant · Caldwell, ID

Individual Active NPI

NPI number 1053783068

Practice location

2609 S 10TH Ave
Caldwell, ID 83605-6816
Phone
(208) 454-2771

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NPI record

NPI
1053783068
Entity type
Individual (Type 1)
Enumeration date
October 29, 2015
Last updated
October 29, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

702 Sunset Dr
Ontario, OR 97914-3121

About Jason Weaver

Jason Weaver is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2609 S 10TH Ave, Caldwell, ID 83605-6816. The NPI number 1053783068 was assigned on October 29, 2015 and the record was last updated on October 29, 2015.

Frequently asked questions

What is the NPI number of Jason Weaver?

The NPI number is 1053783068.

What is the phone number of Jason Weaver?

The phone number listed for the practice location is (208) 454-2771.

Where is Jason Weaver located?

2609 S 10TH Ave, Caldwell, ID 83605-6816.

What is the taxonomy code for Jason Weaver?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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