Individual
IGOR WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403
(910) 254-2023
(910) 254-0242
Mailing address
1801 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403
(910) 254-2023
(910) 254-0242
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
9300370
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
9300370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01315
BCBS NORTH CAROLINA
NC
01
—
180038153
RR MEDICARE
—
05
—
790129C
—
NC
01
—
86648
BCBS NORTH CAROLINA
NC
05
—
8986648
—
NC
05
—
Q00370
—
SC
05
—
QPA675
—
SC
Enumeration date
01/23/2006
Last updated
04/23/2021
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