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Weber Pediatrics, PLLC
Company Details
| Name: |
Weber Pediatrics, PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
05 Jun 2024 (a year ago)
|
| Financial Date End: |
30 Jun 2026 |
| Entity Number: |
5762709 |
| Place of Formation: |
IDAHO |
| File Number: |
940370 |
| ZIP code: |
83501
|
| County: |
Nez Perce County |
| Principal Address: |
2216 VINEYARD AVE LEWISTON, ID 83501 |
| Mailing Address: |
901 22ND AVE CLARKSTON, WA 99403-3147 |
Manager
| Name |
Role |
Address |
Appointed On |
|
Tysen Weber
|
Manager
|
901 22ND AVE, CLARKSTON, WA 99403
|
2025-05-04
|
Agent
| Name |
Role |
Address |
|
Britney Holden
|
Agent
|
1957 N BUNTING LN, POST FALLS, ID 83854
|
National Provider Identifier
Certification Date:
2024-06-13
Authorized Person:
Taxonomy:
Selected Taxonomy:
208000000X - Pediatrics Physician
Contacts:
Date of last update: 22 May 2025
Sources:
Idaho Secretary of State
