| Doctor Name: | RITA WESTENHAVER |
| NPI Number: | 1639141724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 2731 |
| Business Practice Address: | 1130 E Lansing St Broken Arrow, OK - 740122429 |
| Business Phone Number: | 9182589990 |
| Business Fax Number: | 9182519339 |
| Mailing Address: | Po Box 140728, BROKEN ARROW |
| State: | OK |
| Postal Code: | 740140007 |
| Phone Number: | 9182589990 |
| Fax Number: | 9182519339 |
| NPI Enumeration Date: | 02/03/2006 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |