Individual
DR. DUSTIN L WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4583 WATKINS ST, PACE, FL 32571-2511
(305) 496-3689
Mailing address
4583 WATKINS ST, PACE, FL 32571-2511
(305) 496-3689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05375
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-05375
STATE LICENSE
KS
Enumeration date
01/13/2011
Last updated
07/14/2021
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