Individual
LARRY WESTPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(952) 442-9770
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
047059
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060384
—
IA
01
—
26557
BLUE CROSS OF IOWA
IA
Enumeration date
02/17/2006
Last updated
04/28/2008
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