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

Mr. Fred C Weaver, OTC

Individual provider Surgical Technologist · NPI 1063610749

Mr. Fred C Weaver, OTC is a Surgical Technologist in Altus, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

304 S Park Ln Ste A
Altus, OK 73521-5718
Phone: (580) 477-7356
Fax: (580) 482-7510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 87-0658 (OK)

Record details

NPI number1063610749
Entity typeIndividual (Type 1)
GenderMale
Credentials OTC
Sole proprietorNo
NPI enumeratedJuly 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address304 S Park Ln, Suite A, Altus, OK 73521-5718