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Individual

PATRICK R WABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 HOLLENBECK LN, DEER LODGE, MT 59722-2317
(406) 846-1722
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00034054
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD201549
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MED-PHYS-LIC-131634
MT

Other

Enumeration date
07/22/2006
Last updated
03/08/2024
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