Individual
KIRK E. WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 TOWN CENTER AVE, BIG SKY, MT 59716-1713
(406) 995-6995
Mailing address
915 HIGHLAND BLVD, ATTN PFS CREDENTIALING, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42392
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891894432
—
MT
Enumeration date
09/21/2006
Last updated
07/29/2021
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