Provider Demographics
NPI:1437287026
Name:WEBB, ELIZABETH ANN
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 CRAIG RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7120
Mailing Address - Country:US
Mailing Address - Phone:314-989-1014
Mailing Address - Fax:314-989-0560
Practice Address - Street 1:680 CRAIG RD
Practice Address - Street 2:SUITE 308
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7120
Practice Address - Country:US
Practice Address - Phone:314-989-1014
Practice Address - Fax:314-989-0560
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable