Individual
MR. MARK D WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
215 S ALLISON AVE, XENIA, OH 45385-3694
(937) 376-2571
(937) 376-2930
Mailing address
2424 HILL AVE, MIDDLETOWN, OH 45044-4732
(937) 231-1250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1025
OH
Other
Enumeration date
11/07/2007
Last updated
04/09/2013
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