Doctor Name: | DR. S PATRICK WEBER |
NPI Number: | 1487621579 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1413 |
Business Practice Address: | Phs Hospital East Highway 18 Pine Ridge, SD - 57770 |
Business Phone Number: | 6058675131 |
Business Fax Number: | |
Mailing Address: | Phs Hospital East Highway 18, PINE RIDGE |
State: | SD |
Postal Code: | 57770 |
Phone Number: | 6058675131 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 1413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |