Individual
DR. ANTONIO CARLOS ANDERSON WESTPHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-2204
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
F5317
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD61039212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689682015
—
WA
Enumeration date
08/03/2006
Last updated
06/03/2020
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