Individual
MR. MATT WEBBER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AT/L, ATC
Contact information
Practice address
434 LAKE POWELL BOULEVARD, PAGE, AZ 86040-1927
(928) 608-4100
Mailing address
PO BOX 1927, PAGE, AZ 86040-1927
(928) 608-4100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0043
AZ
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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