Individual
AMANDA JO WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
380 W CHESTNUT ST STE 101, WASHINGTON, PA 15301-4658
(724) 228-1414
(724) 228-8579
Mailing address
380 W CHESTNUT ST STE 101, WASHINGTON, PA 15301-4658
(724) 228-1414
(724) 228-8579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057384
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14212085
CAQH
—
Enumeration date
11/26/2014
Last updated
10/06/2020
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