Doug Weaver

NPI 1699048231 · on the registry since 2012 · sole proprietor

Practice

Address: 1140 36th St Ste 270
Ogden, UT 84403
Phone: (801) 389-6696
Organisation at this address: Kt&T, Inc.
Tristan Inc.
Kt&T Venures
Bsp Utah, Pllc
Kt&T Ventures, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-13

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 Utah