Provider Demographics
NPI:1699653709
Name:NATHAN C WEAVER DO PC
Entity type:Organization
Organization Name:NATHAN C WEAVER DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:435-592-2958
Mailing Address - Street 1:1335 NORTHFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9489
Mailing Address - Country:US
Mailing Address - Phone:435-586-1003
Mailing Address - Fax:435-865-9874
Practice Address - Street 1:1335 NORTHFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9489
Practice Address - Country:US
Practice Address - Phone:435-586-1003
Practice Address - Fax:435-865-9874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty