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Organization

WEBER PEDIATRICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYSEN WEBER MD (OWNER)
(971) 209-8219
Entity
Organization

Contact information

Practice address
2216 VINEYARD AVE, LEWISTON, ID 83501-6352
(971) 209-8219
Mailing address
901 22ND AVE, CLARKSTON, WA 99403-3147
(971) 209-8219

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/13/2024
Last updated
06/13/2024
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