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Individual

BRUCE LEONARD WEBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6046 KNIGHT ARNOLD ROAD EXT, SUITE 101, MEMPHIS, TN 38115-3347
(901) 542-6801
(901) 542-6871
Mailing address
6046 KNIGHT ARNOLD ROAD EXT, SUITE 101, MEMPHIS, TN 38115-3347
(901) 542-6801
(901) 542-6871

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD0000012393
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000005210
TN
01
3025108
BLUE CROSS BLUE SHIELD
TN
05
3025108
TN
05
3041868
TN
01
96813
BLUE CROSS
AR
Enumeration date
07/04/2006
Last updated
07/09/2007
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