| Weber Medical Services Pc | |
|
109 Pugh Street Martin SD 57551-0370 | |
| (605) 685-1450 | |
| (605) 685-1453 |
| Full Name | Weber Medical Services Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Pugh Street, Martin, South Dakota |
| Authorized Official Name and Position | Diane M Weber (OWNER) |
| Authorized Official Contact | 6056851450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weber Medical Services Pc Po Box 370 Martin SD 57551-0370 Ph: (605) 685-1450 | Weber Medical Services Pc 109 Pugh Street Martin SD 57551-0370 Ph: (605) 685-1450 |
| NPI Number | 1295802619 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295802619 | NPI | - | NPPES |
| 5300880 | Medicaid | SD | |
| 4994699 | Other | SD | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0304 (South Dakota) | Primary |
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