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Individual

WILLIAM J WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2003 STULTS RD, HUNTINGTON, IN 46750-1291
(260) 356-5424
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024329A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000655781
ANTHEM
IN
05
100137960
IN
05
200956680
IN
Enumeration date
07/20/2005
Last updated
08/31/2010
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