Individual
DR. JOHN R WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W MAPLE STREET, FARMINGTON, NM 87401
(505) 325-1572
(505) 327-4887
Mailing address
PO BOX 2019, FARMINGTON, NM 87499-2019
(505) 325-1572
(505) 327-4887
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
049846
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD2011-0230
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23925841
—
NM
Enumeration date
09/07/2005
Last updated
06/10/2024
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