Individual
KAREN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-4111
(520) 682-3817
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40375
CO
207R00000X
Internal Medicine Physician
Primary
008672
AZ
207R00000X
Internal Medicine Physician
40375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110241330
RR MEDICARE
CO
05
—
385983
—
AZ
05
—
94173044
—
CO
Enumeration date
05/12/2006
Last updated
07/22/2021
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