Individual
DR. MARK C WEBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
350 W 10TH ST, SUITE A, ERIE, PA 16502-1443
(814) 454-0572
(814) 459-1157
Mailing address
350 W 10TH ST, SUITE A, ERIE, PA 16502-1443
(814) 454-0572
(814) 459-1157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003184L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117602
BLUE SHIELD
PA
Enumeration date
09/27/2005
Last updated
07/08/2007
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