Individual
SAMUEL WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-5790
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9286217-1205
UT
Other
Enumeration date
04/08/2011
Last updated
09/14/2021
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