Individual
IAN C WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W 144TH AVE STE 230, WESTMINSTER, CO 80023-9328
(303) 665-2603
(303) 665-2605
Mailing address
3455 LUTHERAN PKWY STE 105, WHEAT RIDGE, CO 80033-6028
(303) 665-2603
(303) 665-2605
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55805
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
55805
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0902607
MEDICA
—
05
—
14073
—
ND
01
—
182H4WE
MN BCBS
MN
01
—
27952
ND BCBS
ND
05
—
936485400
—
MN
Enumeration date
10/05/2006
Last updated
03/17/2018
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