Individual
RYAN W WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9040 JACKSON AVE MCHF-CLQ-C, JOINT BASE LEWIS MCCHORD, WA 98431-4602
(253) 967-8226
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14189228-1206
UT
363A00000X
Physician Assistant
PA60149513
WA
363AM0700X
Medical Physician Assistant
PA60149513
WA
Other
Enumeration date
11/02/2009
Last updated
11/17/2025
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