Individual
SIMON WESTACOTT
Active
Individual
SIMON WESTACOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD048705L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012290130016
—
PA
01
—
23-3102793
LANCASTER PET PARTNERSHIP TAX ID
PA
01
—
231855378
TAX ID - LANC RADIOLOGY
PA
01
—
33-1011386
MRI GROUP, LLP TAX ID
PA
Enumeration date
02/24/2006
Last updated
09/26/2024
Update your record
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