Individual
MRS. SERA EVELYN BABINO WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 882-4511
(208) 883-6580
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1271683
ID
363A00000X
Physician Assistant
PA217674
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2022
Last updated
02/27/2026
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