Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 036.141082 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 2017029362 | MO |
NPI | 1053554956 |
---|---|
Provider Name | Melissa Kay Webb |
First Address | Saint Louis, MO 63104-1003 |
Second Address | Saint Louis, MO 63104-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 17/04/2019 |