Matthew Caleb Weaver
Matthew Caleb Weaver is a Peer Specialist in Boise, Idaho. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
300 S 23rd StBoise, ID 83702-9100
Phone: (208) 345-1170
Fax: (208) 345-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1255719092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 13, 2015 |
| Last updated in NPPES | May 13, 2015 |
| Mailing address | 211 16th Ave N, Nampa, ID 83687-4058 |
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