Organization
ILLINOIS/INDIANA EM-I MEDICAL SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS P WEBSTER DO (OWNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
1451 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-3456
Mailing address
PO BOX 37721, PHILADELPHIA, PA 19101-5021
(800) 732-1066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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