NPI 1730673419

Tysen L Weber, MD

Practitioner Pediatrics Physician Lewiston, ID

Practice location

Address: 2315 8th St, Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Mailing address: 2216 Vineyard Ave, Lewiston, ID 83501-6352

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M-15702 (ID)

Other Pediatrics providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD61156866 (WA)

Registry record

NPI: 1730673419
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2018
Record last updated: 15 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.