Mark Louis Westphal in Carbondale - Dermatology

Mark Louis Westphal - NPI 1043388242

Mark Louis Westphal is a Dermatology in Carbondale, Illinois. Mark Louis Westphal practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mark Louis Westphal is 1043388242. The last update date is 2007-07-08.

Mark Louis Westphal's current location address is 665 East Lake Road, Carbondale, Illinois. You can contact this provider via phone number 6185490841 and fax number 6185292442. The mailing address for Mark Louis Westphal is 665 East Lake Road, Carbondale, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Louis Westphal
Address 665 East Lake Road, Carbondale, Illinois
Phone Number 6185490841
Fax Number 6185292442
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043388242
Provider Enumeration Date 2006-12-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 665 East Lake Road
City Carbondale
State Illinois (IL)
Post Code 62901
Phone Number 6185490841
Fax Number 6185292442

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110858 IL HEALTHLINK
1073255002 IL CIGNA
27382 IL HEALTH ALLIANCE
3900142 IL BLUE CROSS BL SH OF IL

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FAQs about Mark Louis Westphal

What is the unique identification code assigned to Mark Louis Westphal by the Centers for Medicare & Medicaid Services?

The Mark Louis Westphal has been issued the NPI (National Provider Identifier) 1043388242. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mark Louis Westphal?

The Mark Louis Westphal is physically situated at 665 East Lake Road, in the city of Carbondale, state of IL, with the postal code 62901.

What is Mark Louis Westphal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Louis Westphal is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.

On what date did the Mark Louis Westphal receive its 1043388242 assignment from the Centers for Medicare & Medicaid Services?

The Mark Louis Westphal was assigned its 1043388242 by the Centers for Medicare & Medicaid Services on 2006-12-04.

When was the information pertaining to Mark Louis Westphal most recently updated or revised?

The details related to Mark Louis Westphal, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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