Provider Demographics
NPI:1396733234
Name:GAIL S WESTHOVEN PC
Entity type:Organization
Organization Name:GAIL S WESTHOVEN PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, ASSOCIATED DERMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WESTHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-838-3407
Mailing Address - Street 1:1401 EDWARDS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2724
Mailing Address - Country:US
Mailing Address - Phone:205-853-3960
Mailing Address - Fax:205-285-3185
Practice Address - Street 1:1401 EDWARDS LAKE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-2724
Practice Address - Country:US
Practice Address - Phone:205-853-3960
Practice Address - Fax:205-285-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty