Individual
DR. MARK D WEBSTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 RONALD REAGAN PKWY, SUITE 148, AVON, IN 46123-6910
(317) 274-7273
(317) 278-5494
Mailing address
541 CLINICAL DR, SUITE 600, INDIANAPOLIS, IN 46202-5233
(317) 481-4362
(317) 481-4360
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01056957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01056957A
LICENSE
IN
01
—
01056957B
CSR
IN
Enumeration date
05/16/2006
Last updated
03/07/2023
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