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Individual

MARQUISE WESTBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
60 MDG/SGOMB, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535
(707) 423-3000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5030

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29309
MS
207RI0200X
Infectious Disease Physician
Primary
29309
MS
208D00000X
General Practice Physician
29309
MS

Other

Enumeration date
06/11/2019
Last updated
10/01/2024
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