Individual
DR. MARK WAYNE WEBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 E 1ST ST, SALIDA, CO 81201-2805
(719) 539-5381
(719) 539-4992
Mailing address
515 E 1ST ST, SALIDA, CO 81201-2805
(719) 539-5381
(719) 539-4992
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19195
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191956
—
CO
Enumeration date
10/11/2005
Last updated
07/08/2007
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