Individual
KLINT LAYTON WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3130 E BASELINE RD STE 103-104, MESA, AZ 85204-7290
(480) 539-7618
(480) 539-1704
Mailing address
3130 E BASELINE RD STE 103-104, MESA, AZ 85204-7290
(480) 539-7618
(480) 539-1704
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4543
AZ
Other
Enumeration date
11/05/2009
Last updated
06/13/2012
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