Individual
MARK ANTHONY WEBSTER
Active
Individual
MARK ANTHONY WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134126493
—
NC
05
—
1538306261
—
NC
Enumeration date
01/08/2014
Last updated
05/08/2017
Update your record
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