Doctor Name: | STEVEN WESLEY WEBSTER |
NPI Number: | 1306033774 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 5744083-1206 |
Business Practice Address: | 1469 S Highway 40 # C Heber City, UT - 840323522 |
Business Phone Number: | 4356543535 |
Business Fax Number: | 4356542853 |
Mailing Address: | 1469 S Highway 40 # C, HEBER CITY |
State: | UT |
Postal Code: | 840323522 |
Phone Number: | 4356543535 |
Fax Number: | 4356542853 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5744083-1206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |