# AMMON D WEBER MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164625711
- **Authorized official:** MR. AMMON DAVID WEBER MD (CEO)
- **Authorized official phone:** (806) 274-5131

## Contact information

- **Practice address:** 100 S MCGEE ST \# S, BORGER, TX 79007-4020
- **Practice address phone:** (806) 274-5131
- **Practice address fax:** (806) 274-5132
- **Mailing address:** 100 S MCGEE ST, BORGER, TX 79007-4020
- **Mailing address phone:** (806) 274-5131
- **Mailing address fax:** (806) 274-5132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M4646 | UT | Yes |

## Other

- **Enumeration date:** 06/08/2007
- **Last updated:** 08/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 188175701 | — | TX |