Individual
DIANA M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11501 GOLF COURSE RD., NW, SUITE 203, ALBUQUERQUE, NM 87114
(505) 262-7281
(505) 262-7622
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7963
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
96-400
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K4628
—
NM
Enumeration date
07/20/2005
Last updated
03/13/2020
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