Provider Demographics
NPI:1699723536
Name:WEBB, WILLIAM FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANK
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 JACKSON ST SW
Mailing Address - Street 2:
Mailing Address - City:GRAVETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72736-9121
Mailing Address - Country:US
Mailing Address - Phone:479-787-5221
Mailing Address - Fax:479-787-5613
Practice Address - Street 1:1101 JACKSON ST SW
Practice Address - Street 2:
Practice Address - City:GRAVETTE
Practice Address - State:AR
Practice Address - Zip Code:72736-9121
Practice Address - Country:US
Practice Address - Phone:479-787-5221
Practice Address - Fax:479-787-5613
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARCI1609OtherGROUP RAILROAD MEDICARE NUMBER
MO1699723536Medicaid
ARP00146453OtherRAILROAD MEDICARE
AR101107001Medicaid
AR1265490916OtherGROUP NPI NUMBER
MO200918423Medicaid
ARP00894378OtherRR MEDICARE
OK100078870AMedicaid
OK100726240DOtherGROUP OK MEDICAID GROUP NUMBER
MO200918423Medicaid
ARD17163Medicare UPIN
AR55561Medicare ID - Type Unspecified