# WESTBROOK MEDICAL CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982733937
- **Authorized official:** MICHAEL R WESTBROOK MD (OWNER)
- **Authorized official phone:** (479) 667-2923

## Contact information

- **Practice address:** 107 N 9TH ST, OZARK, AR 72949-2796
- **Practice address phone:** (479) 667-2923
- **Practice address fax:** (479) 667-2857
- **Mailing address:** 107 N 9TH ST, OZARK, AR 72949-2796
- **Mailing address phone:** (479) 667-2923
- **Mailing address fax:** (479) 667-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C5021 | AR | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 04/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 127408002 | — | AR |