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NPI Code Detail

MEDICARE: WESTLAKE FAMILY PHYSICIANS, PC

MEDICARE: WESTLAKE FAMILY PHYSICIANS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417942962
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTLAKE FAMILY PHYSICIANS, PC
Provider Business Mailing Address
First Line : 5623 W 19TH ST
Second Line :
City : GREELEY
State : CO
Zip : 80634-2901
Country : US
Telephone Number : 970-353-9011
Fax Number : 970-353-0306
Provider Business Practice Location Address
First Line : 5623 W 19TH ST
Second Line :
City : GREELEY
State : CO
Zip : 80634-2901
Country : US
Telephone Number : 970-353-9011
Fax Number : 970-353-0306
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. CYNTHIA KAY MCDOWELL
Credential :
Telephone Number : 970-353-9011
Provider Enumeration Date : 09/12/2005
Last Update Date : 03/26/2008

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Directions to “WESTLAKE FAMILY PHYSICIANS, PC ” Practice Location

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