Organization
GARY M. WESTBROCK, PHYSICIAN ASSISTANT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M WESTBROCK PA (PRESIDENT)
(805) 541-4018
Entity
Organization
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
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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