Individual
AUDREY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
503 W PINE ST, PHILIP, SD 57567-3300
(605) 859-2511
Mailing address
23205 HILL TOP DR, PHILIP, SD 57567-3229
(605) 441-8202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SD
Other
Enumeration date
05/29/2020
Last updated
01/03/2024
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