Individual
LARRY H. WESTERFIELD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 968-1144
(423) 968-3453
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
(423) 968-3453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220711000
—
WA
01
—
3000066631
PGBA (RR MEDICARE)
—
01
—
3058287
BCBS TN
TN
05
—
3193377
—
TN
05
—
7213484
—
VA
05
—
790595
—
NC
01
—
R06903
JOH DEERE
TN
Enumeration date
08/26/2005
Last updated
07/08/2007
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