Weber, Douglas Mark

Weber, Douglas Mark is an individual health care provider with primary practice located at 37100 N Gantzel Rd Suite 106, San Tan Valley AZ 85140-7349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Weber, Douglas Mark can be contacted via phone (480) 814-1910.

Contact Information

Primary practice address
37100 N Gantzel Rd Suite 106 San Tan Valley AZ 85140-7349
Phone: (480) 814-1910
Fax: (480) 857-2667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 125056620 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 52070 Arizona

Profile Details

NPI number 1992933550
LBN Legal business name Weber, Douglas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Aug 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992933550 NPPES
Arizona MEDICAID 148478

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