Dr Paul W Weber, MD | |
280 Looney Rd, Suite 101, Piqua, OH 45356-4199 | |
(937) 440-8687 | |
(937) 773-8058 |
Full Name | Dr Paul W Weber |
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Gender | Male |
Speciality | Pediatrics |
Location | 280 Looney Rd, Piqua, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942278940 | NPI | - | NPPES |
0286113 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35070435 (Ohio) | Primary |
Entity Name | Upper Valley Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
Entity Name | Shelby County Ohio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477656601 PECOS PAC ID: 8325234974 Enrollment ID: O20220819002085 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul W Weber, MD 280 Looney Rd, Suite 101, Piqua, OH 45356-4199 Ph: (937) 440-8687 | Dr Paul W Weber, MD 280 Looney Rd, Suite 101, Piqua, OH 45356-4199 Ph: (937) 440-8687 |
Tammy J Taylor, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 | |
Meredith Leigh Prenger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, Ste 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 |