DR. MALLORY WEAVER, DO
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1376235861
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | 90200000X () |
Frequently Asked Questions
NPI 1376235861 is the National Provider Identifier for DR. MALLORY WEAVER, DO, a Student in an Organized Health Care Education/Training Program provider located in Peoria, IL. This NPI was enumerated on May 23, 2023.
DR. MALLORY WEAVER, DO practices at 815 MAIN ST STE C, Peoria, IL 61602.
Quick Facts
- NPI
- 1376235861
- Type
- Individual
- Enumerated
- May 23, 2023
- Last Updated
- May 23, 2023
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