Organization Name: | DAVID LEE WEBBER, D.O. P.A. |
NPI Number: | 1972740678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANKIE WILLIAMS (PRACTICE MANAGER) |
Mailing Address: | 328 Kittle Rd Forrest City |
State: | AR US |
Postal Code: | 723352960 |
Phone Number: | 8706330220 |
Fax Number: | 8702954795 |
NPI Enumeration Date: | 01/16/2009 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R4242 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |