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NPI Code Detail

MEDICARE: ERIC L WEBER CPO

MEDICARE: ERIC L WEBER CPO
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
1222Z00000XOrthotistOI00000393WA
2224P00000XProsthetistPS00000434WA

Other Identifiers

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

General Provider Information

NPI Number : 1730370073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC L WEBER CPO
Provider Business Mailing Address
First Line : 723 MARTIN LUTHER KING JR WAY
Second Line :
City : TACOMA
State : WA
Zip : 98405-4139
Country : US
Telephone Number : 253-383-4447
Fax Number : 253-593-7980
Provider Business Practice Location Address
First Line : 723 MARTIN LUTHER KING JR WAY
Second Line :
City : TACOMA
State : WA
Zip : 98405-4139
Country : US
Telephone Number : 253-383-4447
Fax Number : 253-593-7980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 06/29/2009

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Directions to “ ERIC L WEBER CPO” Practice Location

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