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NPI Code Detail

MEDICARE: KAREN WEBER DO

MEDICARE: KAREN WEBER DO
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
1174400000XSpecialist40375CO
2207R00000XInternal Medicine Physician40375CO
3207R00000XInternal Medicine Physician008672AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110241330OTHERCORR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255382677
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN WEBER DO
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-818-3630
Provider Business Practice Location Address
First Line : 13395 N MARANA MAIN ST
Second Line :
City : MARANA
State : AZ
Zip : 85653-7008
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-682-3817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/22/2021

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