Individual
MARIE WESTPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 E BOGARD RD, WASILLA, AK 99654-7184
(907) 357-4534
Mailing address
950 E BOGARD RD, WASILLA, AK 99654-7184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
024456
LA
208000000X
Pediatrics Physician
Primary
8457
AK
Other
Enumeration date
10/25/2005
Last updated
12/09/2014
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