Individual
CLINTON BRADSHAW WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3705 NW 63RD ST, SUITE 204, OKLAHOMA CITY, OK 73116-1935
(405) 842-9732
(405) 842-9771
Mailing address
3705 NW 63RD ST, SUITE 204, OKLAHOMA CITY, OK 73116-1935
(405) 842-9732
(405) 842-9771
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
362930
UT
208200000X
Plastic Surgery Physician
Primary
29518
OK
208200000X
Plastic Surgery Physician
99984
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
29518
OK
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
99984
FL
Other
Enumeration date
07/08/2005
Last updated
06/13/2013
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