Basic Information
| Provider Information | |||||||||
| NPI: | 1366567372 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEBSTER | ||||||||
| FirstName: | BRIAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6549 WATSON LANE | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 41042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138868051 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8041 HOSBROOK RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452362989 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138913664 | ||||||||
| FaxNumber: | 5138918925 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2007 | ||||||||
| LastUpdateDate: | 04/04/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57.009302 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.