Individual
SIMON WESTACOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 299-4173
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 299-4173
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
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