Individual
GARY MITCHELL WESTBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
715 TANK FARM RD STE A, SAN LUIS OBISPO, CA 93401-7068
(805) 541-4018
(805) 543-6271
Mailing address
2603 SILVERWOOD WAY, PASO ROBLES, CA 93446-4763
(805) 541-4018
(805) 543-6271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16139
CA
Other
Enumeration date
03/23/2006
Last updated
11/26/2024
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