| Doctor Name: | DR. BRADLEY ALAN WEBER |
| NPI Number: | 1205819125 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 34-004205 |
| Business Practice Address: | 7901 Schatz Pointe Dr Dayton, OH - 454593856 |
| Business Phone Number: | 9374390390 |
| Business Fax Number: | 9374397370 |
| Mailing Address: | 7964 Deep Woods Ct, SPRINGBORO |
| State: | OH |
| Postal Code: | 450668777 |
| Phone Number: | 9375547385 |
| Fax Number: | 9375547385 |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34-004205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |