Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD066897L | PA |
N | 208600000X | Surgeon | MD066897L | PA |
N | 2086S0129X | Vascular Surgeon | MD066897L | PA |
NPI | 1043360522 |
---|---|
Provider Name | Dr. Michael Anthony Weber |
First Address | El Paso, TX 79920-5001 |
Second Address | El Paso, TX 79920-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |