JACK WEAVER, MD
Pain Medicine - Interventional Pain Medicine
Active
Individual
NPI: 1902802101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | No | 19721 (OK) |
| Pain Medicine - Interventional Pain Medicine | 208VP0014X | Yes | 19721 (OK) |
| Family Medicine | 207Q00000X | No | 19721 (OK) |
Frequently Asked Questions
NPI 1902802101 is the National Provider Identifier for JACK WEAVER, MD, a Pain Medicine - Interventional Pain Medicine provider located in Muskogee, OK. This NPI was enumerated on June 22, 2005.
JACK WEAVER, MD practices at 209 S 36TH ST, Muskogee, OK 74401.
Quick Facts
- NPI
- 1902802101
- Type
- Individual
- Enumerated
- Jun 22, 2005
- Last Updated
- Feb 4, 2026
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