MEDICARE: LARRY D WEBB

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
1	237700000X	Hearing Instrument Specialist	07548958P	AZ

General Provider Information

NPI Number	:	1609030709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY D WEBB

Provider Business Mailing Address
First Line	:	14755 W RH JOHNSON BLVD
Second Line	:	SUITE 102
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-6059
Country	:	US
Telephone Number	:	623-214-5885
Fax Number	:

Provider Business Practice Location Address
First Line	:	14755 W RH JOHNSON BLVD
Second Line	:	SUITE 102
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-6059
Country	:	US
Telephone Number	:	623-214-5885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	07/17/2008

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Directions to “ LARRY D WEBB ” Practice Location

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