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Individual
MARK K WEEBER
Active
Individual
MARK K WEEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G660610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110132060
RAILROAD MEDICARE
—
01
—
3910542A
STATE ID #
CA
01
—
G660610
CALIFORNIA MEDICAL LIC #
CA
Enumeration date
09/08/2006
Last updated
01/17/2018
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