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Individual
CRYSTAL D WEBB
Active
Individual
CRYSTAL D WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2013032885
MO
363AS0400X
Surgical Physician Assistant
2013032885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013032885
MISSOURI STATE LICENSE
MO
01
—
9126823-8906
STATE LICENSE
UT
Enumeration date
09/09/2013
Last updated
05/16/2022
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