Provider Demographics
NPI:1821294745
Name:DENNIS C. WESTIN, M.D. P.C.
Entity Type:Organization
Organization Name:DENNIS C. WESTIN, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:WESTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-795-0309
Mailing Address - Street 1:5240 E KNIGHT DR STE 120
Mailing Address - Street 2:
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 STE 120
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ64172084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6417OtherLICENSE
AZ76388Medicare ID - Type Unspecified