Dewayne Weaver MD Orthopedist in Lewiston ID

Dewayne Weaver MD is an orthopedic with a current address of 320 Warner Dr  Lewiston ID 83501-4441. The NPI is 1265674071, and the license number is MD60798747 (WA). It was issued on 03/26/2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on 10/16/2018.

Dewayne Weaver MD can be reached by phone at 2087433523, by mail at 320 Warner Dr Lewiston ID 83501-4441, or by fax at 2087468741.

 

Name: Dewayne Weaver MD

Specialization: Orthopedic

Provider Entity Type: Individual

Is Sole Proprietor: No

Gender: Male

 

Practice Location Address:

320 Warner Dr

Lewiston

ID 83501-4441

Telephone Number: 2087433523

Fax Number: 2087468741

 

Mailing Address:

320 Warner Dr

Lewiston

ID 83501-4441

Telephone Number: 2087433523

Fax Number: 2087468741

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

 

NPI Number: 1265674071

Enumeration Date: 03/26/2009

Last Update: 10/16/2018

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

 

Primary Taxonomy Code: 207X00000X

License Number: MD60798747

License State: WA

Other Taxonomy (if any):

207X00000X

M-14024

ID

Y

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 1265674071

Code Type: 5

Identifier State: ID

Identifier Issuer:

 

Other Identifiers (if any):

1265674071

5

WA