DAN LOREN WEBER

REXBURG, ID
NPI1962438812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-213)
Enumeration Date2006-06-23
Last Update Date2014-06-11
Business Address
DAN LOREN WEBER PA-C
256 N 2ND E
REXBURG, ID 83440-1638
Phone number: 208-656-9646
Mailing Address
DAN LOREN WEBER PA-C
256 N 2ND E
REXBURG, ID 83440-1638
Phone number: 208-656-9646
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