Individual
MICHELLE E WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11401 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5819
(405) 735-3041
(405) 735-3146
Mailing address
PO BOX 890070, OKLAHOMA CITY, OK 73189-0070
(405) 735-3041
(405) 735-3146
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3501
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF9491
RR MEDICARE
OK
Enumeration date
05/17/2006
Last updated
04/20/2008
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