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NPI Code Detail

MEDICARE: NORMAN PAUL WESTHOFF M.D.

MEDICARE: NORMAN PAUL WESTHOFF M.D.
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
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianG87056CA

General Provider Information

NPI Number : 1518010347
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMAN PAUL WESTHOFF M.D.
Provider Business Mailing Address
First Line : 1221 N DUTTON AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4607
Country : US
Telephone Number : 707-543-8360
Fax Number : 707-543-8361
Provider Business Practice Location Address
First Line : 1221 N DUTTON AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4607
Country : US
Telephone Number : 707-543-8360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 11/02/2011

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