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NPI Code Detail

MEDICARE: FREDERICK WEBER

MEDICARE: FREDERICK WEBER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician29457AL

General Provider Information

NPI Number : 1306848023
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK WEBER
Provider Business Mailing Address
First Line : 1717 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1801
Country : US
Telephone Number : 800-822-8816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 06/29/2023

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Directions to “ FREDERICK WEBER ” Practice Location

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