Jordan Carl Weber, PA-C
NPI #1427322957 in Wagner, South Dakota
Provider Information
- NPI Number
- 1427322957
- Entity Type
- Individual
- Name
- Jordan Carl Weber, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 1, 2012
- Last Updated
- Aug 21, 2019
Practice Location
- Address
- 513 3RD ST SW
- City
- Wagner
- State
- South Dakota
- ZIP Code
- 57380-9675
- Phone
- (605) 384-3418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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