Individual
BEAU WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6017 CRUXTEN DR, DAYTON, OH 45424-3702
(937) 802-8571
Mailing address
6017 CRUXTEN DR, DAYTON, OH 45424-3702
(937) 802-8571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006639RX
OH
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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