Individual
DR. MICHAEL DAVID WEBB
Active
Individual
DR. MICHAEL DAVID WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167874
MHN
OR
05
—
201079
—
OR
01
—
8000894
HMOO
OR
01
—
931130894-03
PROVIDENCE INSURANCE
OR
01
—
J3064-03
PACIFICSOURCE
OR
01
—
ORW916D
ODS
OR
Enumeration date
03/06/2007
Last updated
01/23/2008
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