Provider Demographics
NPI:1992705388
Name:WESTIN, DENNIS C (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:WESTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5240 E KNIGHT DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2122
Mailing Address - Country:US
Mailing Address - Phone:520-795-0309
Mailing Address - Fax:520-795-2030
Practice Address - Street 1:5240 E KNIGHT DR
Practice Address - Street 2:SUITE 120
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2122
Practice Address - Country:US
Practice Address - Phone:520-795-0309
Practice Address - Fax:520-795-2030
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2020-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ64172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ042590OtherMANAGED HEALTH NETWORK
AZAZ0734940OtherBLUE CROSS BLUE SHIELD
AZ37829Medicare UPIN
AZ76389Medicare ID - Type Unspecified