Individual
DR. DAVID JOHN WESTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 335-3577
(573) 335-1559
Mailing address
360 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 335-3577
(573) 335-1559
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036084634
IL
207W00000X
Ophthalmology Physician
29233
KY
207W00000X
Ophthalmology Physician
MDR4H61
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
036084634
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
29233
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MDR4H61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179261
HEALTHLINK
—
01
—
180034566
RAILROAD MEDICARE
MO
01
—
180035396
RAILROAD MEDICARE
KY
01
—
180035397
RAILROAD MEDICARE
IL
05
—
208079111
—
MO
01
—
4624
BLUE CROSS BLUE SHIELD MO
MO
05
—
64038219
—
KY
Enumeration date
03/15/2007
Last updated
12/11/2017
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