Individual
DR. DAVID R WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 REDROCK DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, GALLUP, NM 87301-5682
(505) 863-7089
Mailing address
1001 SUSAN AVE, GALLUP, NM 87301-4918
(505) 863-7089
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2001-331
NM
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
26994
CO
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
38254
MI
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
C41531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000K6295
—
NM
01
—
10002487
LOVELACE HEALTH/SALUD
NM
05
—
624941
—
AZ
01
—
850313268020
CHAMPUS
—
01
—
NM009562
BCBS
NM
01
—
PROVP16726
MOLINA
NM
Enumeration date
02/06/2006
Last updated
07/09/2007
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