Individual
MR. GREGARY L WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RTPO-ROA
Contact information
Practice address
FAIRFAX RD @ VIRGINIA ST., SALT LAKE CITY, UT 84103-4399
(801) 536-3820
Mailing address
FAIRFAX RD @ VIRGINIA ST., SALT LAKE CITY, UT 84103-4399
(801) 536-3820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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