Dr. Tysen L Weber
MD | Pediatrics | Male
Dr. Tysen L Weber, MD is a Lewiston, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Tysen L Weber is
2315 8th St, Lewiston, Idaho - 83501-7301. He can be contacted on phone at
208-746-1383 and fax number 208-746-6348.
Dr. Tysen L Weber is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Tysen L Weber is
1730673419 which was assigned by NPPES on 18 Jun, 2018 and it was last updated on 21 Jul, 2021.
Dr. Tysen L Weber license number is
M-15702 for Pediatrics (208000000X) in Idaho.
Dr. Tysen L Weber is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Tysen L Weber basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Tysen L Weber |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Tysen L Weber address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2315 8th St
Lewiston, ID, 83501-7301
United States |
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| Phone Number : | 208-746-1383 |
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| Fax Number : | 208-746-6348 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730673419 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2018 |
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| Last Updated On : | 21 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tysen L Weber are as mentioned. Primary taxonomy code for Dr. Tysen L Weber, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M-15702 | ID |
| 208000000X | Pediatrics | No | MD61156866 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tysen L Weber such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1730673419 | MEDICAID | WA | |
| 1730673419 | MEDICAID | ID | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2315 8th St
Lewiston, ID, 83501-7301
United States |
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| Phone Number : | 208-746-1383 |
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| Fax Number : | 208-746-6348 |
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Business Location:
Patients can refer following map for directions to
Dr. Tysen L Weber practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.