Mark L Westphal

NPI #1477311694 in Carbondale, Illinois

Provider Information

NPI Number: 1477311694
Entity Type: Organization
Organization Name: Mark L Westphal
Primary Specialty: Dermatology
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 665 E LAKE RD
City: Carbondale
State: Illinois
ZIP Code: 62901-5347
Phone: (618) 549-0841

Authorized Official

Name: MARK L WESTPHAL, MD
Title: PRESIDENT
Phone: (618) 549-0841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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