Individual
DR. MICHAEL DEREK WESTAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3475 GS RICHARDS BLVD # 130, CARSON CITY, NV 89703-8462
(775) 841-2000
(775) 841-4200
Mailing address
3475 GS RICHARDS BLVD STE 130, CARSON CITY, NV 89703-8462
(775) 841-2000
(775) 841-4200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
128338
OH
207W00000X
Ophthalmology Physician
15241
CA
207W00000X
Ophthalmology Physician
Primary
17065
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033473913
—
NV
Enumeration date
06/26/2012
Last updated
03/31/2023
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