Individual
ANDREW WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1611 S BALTIMORE ST, KIRKSVILLE, MO 63501-4518
(660) 665-7575
Mailing address
1611 S BALTIMORE ST, KIRKSVILLE, MO 63501-4536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016032740
MO
Other
Enumeration date
09/10/2016
Last updated
10/17/2018
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