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
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
Provider Enumeration Date 2006-07-11
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 990 Sonoma Ave Ste 2
City Santa Rosa
State California (CA)
Post Code 954044813
Phone Number 7075794239
Fax Number

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
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
00G46342 CA --

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FAQs about Dale Raymond Westrom

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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