Individual
RICK MARCUS WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1052 ROSS CLARK CIRCLE, DOTHAN, AL 36303
(334) 699-3600
(334) 699-3601
Mailing address
1052 ROSS CLARK CIRCLE, DOTHAN, AL 36303
(334) 699-3600
(334) 699-3601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14006
AL
207P00000X
Emergency Medicine Physician
ME62499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000466815B
GEORGIA MEDICAID
—
01
—
04979560
MEDICAID
MS
05
—
051515758
—
AL
01
—
055827300
FLORIDA MEDICAID
—
01
—
1723151
MEDICAID
LA
01
—
51515758
BCBS OF ALABAMA
AL
01
—
P00055592
RAILROAD MEDICARE
—
Enumeration date
02/16/2006
Last updated
04/19/2017
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