Search › Arkansas › 101YP2500X
Mark Weaver
NPI 1467193953 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1925 N Green Acres Rd
Fayetteville, AR 72703 - Phone
- (479) 521-1296
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas