Individual
DR. JAMES LEONARD VERWEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 E BETTERAVIA RD STE C, SANTA MARIA, CA 93454-7847
(805) 922-0561
Mailing address
1400 E. CHURCH STREET, MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3954
(805) 739-3060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A25003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A250030
BS OF CA
—
05
—
00A250030
—
CA
01
—
930000975
RAILROAD
—
01
—
A25003
BC OF CA
—
Enumeration date
07/11/2006
Last updated
02/09/2018
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