Individual
LEONARD EUGENE WEBER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 SOUTH 205TH STREET, ELKHORN, NE 68022
(402) 289-0854
(402) 289-0854
Mailing address
625 SOUTH 205TH STREET, ELKHORN, NE 68022
(402) 289-0854
(402) 289-0854
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13801
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0939397
—
IA
01
—
1300013607
RAILROAD MEDICARE
—
05
—
47 0683520 00
—
NE
05
—
47068352000
—
NE
Enumeration date
12/16/2005
Last updated
12/18/2012
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