Dan Loren Weber, PA-C

NPI #1962438812 in Rexburg, Idaho

Provider Information

NPI Number: 1962438812
Entity Type: Individual
Name: Dan Loren Weber, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 23, 2006
Last Updated: Jun 11, 2014

Practice Location

Address: 256 N 2ND E
City: Rexburg
State: Idaho
ZIP Code: 83440-1638
Phone: (208) 656-9646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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