Most Relevant Information
Provider Data
| NPI Number: | 1003214743 |
| Provider Name: | JONATHAN WEBB PEDORTHIST |
| Entity Type: | Individual |
| Taxonomy Code: | 224L00000X |
| Specialty: | Pedorthist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/11/2014 |
| Last Updated: | 12/11/2014 |
Provider Practice Location
315 S MAIN ST
ABERDEEN
SD
574014318
Practice Location Phone/Fax
| Phone: | 6052251141 |
| Fax: |
Provider Mailing Location
PO BOX 879
ABERDEEN
SD
574020879
Provider Mailing Phone/Fax
| Phone: | 6052251141 |
| Fax: | 6057256904 |