SearchIdaho207RG0100X

Michael Weaver, MD

NPI 1720427974 · on the registry since 2013

Practice

Address
775 Pole Line Rd W Ste 203
Twin Falls, ID 83301
Phone
(208) 814-8300
Fax
(208) 933-4909
Organisation at this address
St Luke'S Clinic Llc
St Luke'S Clinic, Llc
David Johnson, M.D., P. A.
Arthritis Center Of Idaho,Pa
Bruce C Mccomas, M. D., P. A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Additional practice sites

  • 4901 Forest Park Ave, Saint Louis, MO

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207RG0100X
208D00000X
Licence states on file
ID, UT, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-09

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 Idaho