Healthcare Provider Details

I. General information

NPI: 1881608768
Provider Name (Legal Business Name): JOHN CHRISTOPHER WEBSTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 MOUNTAIN VIEW AVE
LONGMONT CO
80501-3128
US

IV. Provider business mailing address

1925 MOUNTAIN VIEW AVE
LONGMONT CO
80501-3128
US

V. Phone/Fax

Practice location:
  • Phone: 720-718-8305
  • Fax: 720-718-0955
Mailing address:
  • Phone: 720-718-8305
  • Fax: 720-718-0955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0051760
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: