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Individual

JEFFREY SCOTT WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
501 7TH ST, LAS VEGAS, NM 87701
(505) 425-3566
(505) 425-3568
Mailing address
1205 5TH ST, LAS VEGAS, NM 87701
(505) 425-9410

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
97PA06
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49395
NM
Enumeration date
11/07/2006
Last updated
11/29/2018
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