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NPI Code Detail

MEDICARE: DR. JOEL ROBERT WEBER M.D.

MEDICARE:  DR. JOEL ROBERT WEBER  M.D.
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
1207X00000XOrthopaedic Surgery PhysicianR73312AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R73312OTHERAZARIZONA MEDICAL BOARD TRAINING LICENSE NUMBER

General Provider Information

NPI Number : 1417210063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL ROBERT WEBER M.D.
Provider Business Mailing Address
First Line : 1001 E 17TH ST
Second Line : APT 201
City : TUCSON
State : AZ
Zip : 85719-6767
Country : US
Telephone Number : 425-894-7294
Fax Number :
Provider Business Practice Location Address
First Line : 1609 N WARREN AVE
Second Line : SUITE 110
City : TUCSON
State : AZ
Zip : 85719-3761
Country : US
Telephone Number : 520-626-9245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2012
Last Update Date : 06/19/2012

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Directions to “ DR. JOEL ROBERT WEBER M.D.” Practice Location

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