Individual
LARRY M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2747 NE CONNERS AVE, BEND, OR 97701-8738
(541) 382-5712
(541) 382-2605
Mailing address
2747 NE CONNERS AVE, BEND, OR 97701-8738
(541) 382-5712
(541) 382-2605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00560
OR
Other
Enumeration date
07/19/2006
Last updated
07/10/2008
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