Individual
DEREK ETHAN WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 S MIDWEST BLVD, MIDWEST CITY, OK 73110-4642
(405) 733-5437
(405) 732-7741
Mailing address
316 S MIDWEST BLVD, MIDWEST CITY, OK 73110-4642
(405) 733-5437
(405) 732-7741
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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