Dale Raymond Westrom in Santa Rosa - Procedural Dermatology
Dale Raymond Westrom - NPI 1922032077
Dale Raymond Westrom is a Procedural Dermatology in Santa Rosa, California. Dale Raymond Westrom practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Dale Raymond Westrom is 1922032077. The last update date is 2008-06-17.
Dale Raymond Westrom's current location address is 990 Sonoma Ave Ste 2, Santa Rosa, California. You can contact this provider via phone number 7075794239. The mailing address for Dale Raymond Westrom is 990 Sonoma Ave Ste 2, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dale Raymond Westrom |
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Address | 990 Sonoma Ave Ste 2, Santa Rosa, California |
Phone Number | 7075794239 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D., PH.D |
NPI Number Detail
NPI Number | 1922032077 |
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Provider Enumeration Date | 2006-07-11 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 990 Sonoma Ave Ste 2 |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954044813 |
Phone Number | 7075794239 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Procedural Dermatology |
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Taxonomy | 207Ns0135X |
Licence No | G46342 |
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00G46342 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dale Raymond Westrom by the Centers for Medicare & Medicaid Services (CMS)?
The Dale Raymond Westrom has been assigned the NPI (National Provider Identifier) 1922032077. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Dale Raymond Westrom's facilities are geographically located?
The facilities of Dale Raymond Westrom are physically situated at the following location: 990 Sonoma Ave Ste 2, Santa Rosa, CA, 954044813.
What is Dale Raymond Westrom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dale Raymond Westrom is Procedural Dermatology, and the taxonomy code that categorizes this field of expertise is 207Ns0135X.
On what date did the Dale Raymond Westrom receive the assignment of its 1922032077 from the Centers for Medicare & Medicaid Services?
The Dale Raymond Westrom was issued its 1922032077 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the information pertaining to Dale Raymond Westrom most recently updated or revised?
The details related to Dale Raymond Westrom, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-17.
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