Organization
WESTIN CLINIC, P.C.
Active
Other names
Ivan C. Perez, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN COSME PEREZ M.D. (PRESIDENT)
(423) 587-2596
Entity
Organization
Contact information
Practice address
709 MCFARLAND ST, MORRISTOWN, TN 37814-3977
(423) 587-2596
(423) 585-0223
Mailing address
709 MCFARLAND ST, MORRISTOWN, TN 37814-3977
(423) 587-2596
(423) 585-0223
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4155338
BCBST
TN
Enumeration date
09/12/2005
Last updated
03/19/2008
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