Individual
KIM EUGENE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W MAIN ST, SPRINGFIELD, OH 45502-1312
(937) 521-3900
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(908) 653-9305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35057701W
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
000195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786010
—
OH
Enumeration date
08/15/2006
Last updated
02/28/2013
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