| David L. Webber | |
|
328 Kittle Rd Forrest City AR 72335-2960 | |
| (870) 633-0220 | |
| (870) 633-0212 |
| Full Name | David L. Webber |
|---|---|
| Speciality | Family Medicine |
| Location | 328 Kittle Rd, Forrest City, Arkansas |
| Authorized Official Name and Position | David Lee Webber (OWNER/PHYSICAN) |
| Authorized Official Contact | 8706330220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Webber 328 Kittle Rd Forrest City AR 72335-2960 Ph: (870) 633-0220 | David L. Webber 328 Kittle Rd Forrest City AR 72335-2960 Ph: (870) 633-0220 |
| NPI Number | 1043202476 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 07/25/2011 |
| Medicare PECOS PAC ID | 7517919954 |
|---|---|
| Medicare Enrollment ID | O20050413000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043202476 | NPI | - | NPPES |
| 120125003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R4242 (Arkansas) | Primary |
| Provider Name | Susan W Balke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124013925 PECOS PAC ID: 8628063229 Enrollment ID: I20040414001672 |
| Provider Name | David L Webber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760472021 PECOS PAC ID: 4587616610 Enrollment ID: I20050413000572 |
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