Individual
TIMOTHY A WELEBIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S EAGLE RD, SUITE 3112, MERIDIAN, ID 83642-6351
(208) 706-5800
(208) 706-5810
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 388-0100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M6698
ID
Other
Enumeration date
05/16/2006
Last updated
02/17/2011
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