Mark L Westphal
Mark L Westphal is a Dermatology Physician in Carbondale, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
665 E Lake RdCarbondale, IL 62901-5347
Phone: (618) 549-0841
Fax: (618) 529-2442
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1477311694 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Westphal — President · (618) 549-0841 |
| NPI enumerated | March 12, 2024 |
| Last updated in NPPES | March 12, 2024 |
| Certification date | March 12, 2024 |
| Mailing address | Po Box 399, Carbondale, IL 62903-0399 |
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Mark Louis Westphal, MD
665 E Lake Rd, Carbondale, IL 62901-5347 · (618) 549-0841