Provider Demographics
NPI:1750594222
Name:WEAVER, AARON NEWEY (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:NEWEY
Last Name:WEAVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3305
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:1175 E 50 S STE 251
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2850
Practice Address - Country:US
Practice Address - Phone:014-922-8158
Practice Address - Fax:801-492-0191
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT5755333-1205207RC0000X, 207RI0011X
PAMT188169207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease