Most Relevant Information
Provider Data
| NPI Number: | 1003362146 |
| Provider Name: | BRETT WEAVER PLADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | P-1423 |
Most Important Dates
| Enumeration Date: | 08/29/2016 |
| Last Updated: | 08/29/2016 |
Provider Practice Location
305 FOCH ST
GORDON
NE
693431709
Practice Location Phone/Fax
| Phone: | 3082821101 |
| Fax: | 3082821372 |
Provider Mailing Location
305 FOCH ST
GORDON
NE
693431709
Provider Mailing Phone/Fax
| Phone: | 3082821101 |
| Fax: | 3082821372 |