Doctor Name: | STEVE N WEBER |
NPI Number: | 1083973416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 403 N Clarence Nash Blvd Watonga, OK - 737723636 |
Business Phone Number: | 5804306960 |
Business Fax Number: | 8668437008 |
Mailing Address: | Hc 65 Box 3, SOUTHARD |
State: | OK |
Postal Code: | 737709702 |
Phone Number: | 5804306960 |
Fax Number: | 8668437008 |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 05/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |