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Search › Arkansas › 1835P0018X

Wade Weaver

NPI 1538803374 · on the registry since 2022

Practice

Address
1531 E Main St
Booneville, AR 72927
Phone
(479) 675-3900
Fax
(479) 675-5909
Organisation at this address
Big World Drug Enterprises Inc
Big World Drug Enterprises Inc
Big World Drug Enterprises Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-12

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