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Individual
IGOR WESTRA
Active
Individual
IGOR WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
9300370
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
9300370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01315
BCBS NORTH CAROLINA
NC
01
—
180038153
RR MEDICARE
—
05
—
790129C
—
NC
01
—
86648
BCBS NORTH CAROLINA
NC
05
—
8986648
—
NC
05
—
Q00370
—
SC
05
—
QPA675
—
SC
Enumeration date
01/23/2006
Last updated
04/23/2021
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