Search › Oklahoma › 208VP0014X
Jack Weaver, MD
NPI 1902802101 · on the registry since 2005
Practice
- Address
- 209 S 36th St
Muskogee, OK 74401 - Phone
- (918) 710-4112
- Fax
- (918) 710-4118
- Organisation at this address
- John V Tedesco Do Pa
Fred M Ruefer, Md Pc
Jack E Weaver, Md Pc
Guy E. Grooms, M.D., P.C.
Dennis Rivero, Md, Inc., PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Also registered as
- 174400000X
207Q00000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-04
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 Oklahoma