Individual
DAVID RANDOLPH WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1400 BELLINGER ST., EAU CLAIRE, WI 54701-1510
(715) 838-6309
Mailing address
2911 NORTHWINDS DR, EAU CLAIRE, WI 54701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
70-039
WI
Other
Enumeration date
10/20/2006
Last updated
01/27/2021
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