Individual
ROGER B WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1035 S FAIR OAKS AVE STE 102, PASADENA, CA 91105-2654
(626) 403-8174
Mailing address
1035 S FAIR OAKS AVE STE 102, PASADENA, CA 91105-2654
(626) 403-8174
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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