Larry M Weber in Bend - Physician Assistant

Larry M Weber - NPI 1790704591

Larry M Weber is a Physician Assistant in Bend, Oregon. Larry M Weber practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry M Weber is 1790704591. The last update date is 2008-07-10.

Larry M Weber's current location address is 2747 Ne Conners Ave, Bend, Oregon. You can contact this provider via phone number 5413825712 and fax number 5413822605. The mailing address for Larry M Weber is 2747 Ne Conners Ave, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry M Weber
Address 2747 Ne Conners Ave, Bend, Oregon
Phone Number 5413825712
Fax Number 5413822605
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1790704591
Provider Enumeration Date 2006-07-19
Last Updated Date 2008-07-10

Provider Mailing Address Detail

Address 2747 Ne Conners Ave
City Bend
State Oregon (OR)
Post Code 977018738
Phone Number 5413825712
Fax Number 5413822605

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA00560
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Larry M Weber

Could you provide the complete physical address where Larry M Weber is located?

The Larry M Weber is situated at the following address: 2747 Ne Conners Ave, Bend, OR, 977018738.

Could you kindly provide the complete physical address where Larry M Weber's facilities are geographically located?

The facilities of Larry M Weber are physically situated at the following location: 2747 Ne Conners Ave, Bend, OR, 977018738.

What is Larry M Weber's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Larry M Weber is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790704591 to Larry M Weber?

The Centers for Medicare & Medicaid Services assigned the 1790704591 to Larry M Weber on 2006-07-19.

As of what date was the information regarding Larry M Weber, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Larry M Weber, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-10.

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