Kriston Webb, MASTER

NPI #1376803486 in Watertown, New York

Provider Information

NPI Number: 1376803486
Entity Type: Individual
Name: Kriston Webb, MASTER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MASTER
Enumeration Date: May 22, 2012
Last Updated: May 22, 2012

Practice Location

Address: 16783 IVES STREET EXT
City: Watertown
State: New York
ZIP Code: 13601-5312
Phone: (315) 788-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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