MEDICARE: DAVID L WEAVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		PA

General Provider Information

NPI Number	:	1285750968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L WEAVER

Provider Business Mailing Address
First Line	:	1834 OREGON PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-6463
Country	:	US
Telephone Number	:	717-569-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1834 OREGON PIKE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-6463
Country	:	US
Telephone Number	:	717-569-8688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/25/2008

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Directions to “ DAVID L WEAVER ” Practice Location

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