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NPI Code Detail

MEDICARE: DR. GERALD MATTHEW WEBB M.D.

MEDICARE:  DR. GERALD MATTHEW WEBB  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician01056851AIN

General Provider Information

NPI Number : 1538183421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD MATTHEW WEBB M.D.
Provider Business Mailing Address
First Line : 5700 ARNOLD ST
Second Line : 72 MDG/SGPF
City : TINKER AFB
State : OK
Zip : 73145-8105
Country : US
Telephone Number : 405-736-2820
Fax Number : 405-736-2677
Provider Business Practice Location Address
First Line : 117 NW 15TH ST
Second Line : APARTMENT #14
City : OKLAHOMA CITY
State : OK
Zip : 73103-4630
Country : US
Telephone Number : 405-601-7555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GERALD MATTHEW WEBB M.D.” Practice Location

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