Individual
MRS. REBECCA A. WESTERGARD
Active
Individual
MRS. REBECCA A. WESTERGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-751
ID
363AM0700X
Medical Physician Assistant
Primary
PA-751
ID
Other
Enumeration date
08/20/2008
Last updated
08/22/2016
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