Individual
HEATHER A WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
85 PAINE ST SE, SUITE B, BONDURANT, IA 50035-1154
(515) 957-9740
(515) 957-9746
Mailing address
85 PAINE ST SE, SUITE B, BONDURANT, IA 50035-1154
(515) 957-9740
(515) 957-9746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3536
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376520338
—
IA
05
—
1415463
—
IA
05
—
2415463
—
IA
05
—
3415463
—
IA
05
—
4415463
—
IA
01
—
P00239579
RR MEDICARE
IA
Enumeration date
12/29/2005
Last updated
05/17/2012
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