Individual
EMILY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
(918) 577-3677
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
(918) 577-3677
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4534
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200960190A
—
OK
Enumeration date
09/27/2019
Last updated
05/16/2024
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