Individual
DOUGLAS MARK WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37100 N GANTZEL RD, SUITE 106, SAN TAN VALLEY, AZ 85140-7349
(480) 814-1910
(480) 857-2667
Mailing address
2545 W FRYE RD, STE 5, CHANDLER, AZ 85224-6273
(480) 814-1910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125056620
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
52070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148478
—
AZ
Enumeration date
06/22/2009
Last updated
08/19/2016
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