Individual
DIANE MURIEL WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
(605) 721-8445
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0304
SD
Other
Enumeration date
07/05/2006
Last updated
10/22/2015
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