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Individual

DR. SUE ANN WESTFALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5722 CABIN CREEK ROAD, SUITE A, DAWES, WV 25054
(304) 595-5006
(304) 595-5007
Mailing address
5722 CABIN CREEK RD, DAWES, WV 25054-7700
(304) 595-5006
(304) 595-5007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17129
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000679730
MS BCBS
WV
05
0054373000
WV
Enumeration date
10/26/2006
Last updated
05/21/2020
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