Organization
DENIS R. WESTPHAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS ROBERT WESTPHAL M.D. (OWNER)
(530) 345-9455
Entity
Organization
Contact information
Practice address
95 DECLARATION DR, SUITE 1, CHICO, CA 95973-4916
(530) 345-9455
(530) 345-6628
Mailing address
95 DECLARATION DR, SUITE 1, CHICO, CA 95973-4916
(530) 345-9455
(530) 345-6628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G50664
CA
2086S0129X
Vascular Surgery Physician
Primary
G50664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G506640
—
CA
01
—
G50664
STATE LICENSE
CA
Enumeration date
01/25/2008
Last updated
04/27/2012
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