Individual
DR. NITA B WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3118
(208) 547-2798
Mailing address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3341
(208) 547-2790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4864584
UT
207R00000X
Internal Medicine Physician
Primary
O-0472
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548930878
—
ID
Enumeration date
09/23/2006
Last updated
10/12/2022
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