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Individual

DR. TERRELL R WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
781 PARKDALE PL, ERIE, CO 80516-2411
(303) 635-6811
(303) 635-6811
Mailing address
781 PARKDALE PL, ERIE, CO 80516-2411
(303) 635-6811
(303) 635-6811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24408
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01244086
CO
01
P00400886
RAILROAD MEDICARE
CO
Enumeration date
11/14/2005
Last updated
11/05/2011
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