Individual
REBECCA ANN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 RIVERVIEW AVE STE 202, NORFOLK, VA 23510-1065
(757) 252-9140
(757) 793-4149
Mailing address
301 RIVERVIEW AVE STE 202, NORFOLK, VA 23510-1065
(757) 252-9140
(757) 793-4149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004173
VA
363AM0700X
Medical Physician Assistant
0110-004173
VA
363AS0400X
Surgical Physician Assistant
PA626
WY
Other
Enumeration date
02/22/2013
Last updated
09/24/2020
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