MEDICARE: DR. PATRICK DEWEY WEBB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01062030A	IN
2	207RG0100X	Gastroenterology Physician	MD2017-0242	NM

General Provider Information

NPI Number	:	1851447668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK DEWEY WEBB M.D.

Provider Business Mailing Address
First Line	:	5202 MARIGOT PL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-2120
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3702 S TIMBERLINE RD STE A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3625
Country	:	US
Telephone Number	:	970-207-9773
Fax Number	:	970-484-8667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/04/2020

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