Individual
WESTIN CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
739 W ALOE PL, CHANDLER, AZ 85248-4404
(480) 331-9431
Mailing address
739 W ALOE PL, CHANDLER, AZ 85248-4404
(480) 331-9431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
006795
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
01/12/2017
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