Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 18668 | AZ |
N | 111NI0900X | Internist | 18668 | AZ |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 18668 | AZ |
NPI | 1083651830 |
---|---|
Provider Name | Sydney A Westphal |
First Address | Scottsdale, AZ 85259-5404 |
Second Address | Scottsdale, AZ 85259-5404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 09/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E82219 | (02) | AZ |