Basic Information
Provider Information
NPI: 1326452673
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEBEL
FirstName: AARON
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 843966
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641843966
CountryCode: US
TelephoneNumber: 5738843300
FaxNumber: 5738840943
Practice Location
Address1: 3215 WINGATE CT
Address2:  
City: COLUMBIA
State: MO
PostalCode: 652017214
CountryCode: US
TelephoneNumber: 5738828920
FaxNumber: 5738844868
Other Information
ProviderEnumerationDate: 06/15/2014
LastUpdateDate: 11/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XME135239FLN Allopathic & Osteopathic PhysiciansOphthalmology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207W00000X2020032247MOY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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