OrganizationActive
Jack E Weaver, MD PC
NPI 1841508918 · Sports Medicine (Internal Medicine) Physician · Muskogee, OK
Provider details
- NPI number
- 1841508918
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Weaver, Owner(918) 682-7717
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
209 S 36th St
Muskogee, OK 74401-5043
Phone: (918) 682-7717
Fax: (918) 682-9434
Approximate (ZIP-level) locationGet directions
Mailing address
209 S 36th St
Muskogee, OK 74401-5043
Registry dates
- Enumerated
- 2010-09-22
- Last updated
- 2015-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.