Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Weaver, PA

Individual provider Physician Assistant · NPI 1801274600

Mark Weaver, PA is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0619
Phone: (480) 704-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6063 (AZ)

Record details

NPI number1801274600
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015
Mailing address4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619

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