Doctor Name: | MICHAEL R WESTBROOK |
NPI Number: | 1295794857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C5021 |
Business Practice Address: | 107 N 9th St Ozark, AR - 729492796 |
Business Phone Number: | 4796672923 |
Business Fax Number: | 4796672857 |
Mailing Address: | 107 N 9th St, OZARK |
State: | AR |
Postal Code: | 729492796 |
Phone Number: | 4796672923 |
Fax Number: | 4796672857 |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C5021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |