MATTHEW WEAVER

Peer Specialist

Active Individual
NPI: 1255719092

Practice Address

300 S 23RD ST
Boise, ID 83702

Phone: (208) 345-1170

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1255719092 is the National Provider Identifier for MATTHEW WEAVER, a Peer Specialist provider located in Boise, ID. This NPI was enumerated on May 13, 2015.
MATTHEW WEAVER practices at 300 S 23RD ST, Boise, ID 83702.

Quick Facts

NPI
1255719092
Type
Individual
Enumerated
May 13, 2015
Last Updated
May 13, 2015

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