| Nita B Weber Do Llc | |
|
225 W Apple St Grantsville UT 84029-9635 | |
| (435) 882-4192 | |
| (435) 882-4665 |
| Full Name | Nita B Weber Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 W Apple St, Grantsville, Utah |
| Authorized Official Name and Position | Nita B Weber (OWNER) |
| Authorized Official Contact | 4358824192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nita B Weber Do Llc 225 W Apple St Grantsville UT 84029-9635 Ph: (435) 882-4192 | Nita B Weber Do Llc 225 W Apple St Grantsville UT 84029-9635 Ph: (435) 882-4192 |
| NPI Number | 1528249307 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528249307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4864584 (Utah) | Primary |
Benjamin J Krogh Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 East Main Street, #7, Grantsville, UT 84029 Phone: 435-884-3582 Fax: 435-884-3578 |