Stephanie M West

NPI #1073172532 in Bloomington, Indiana

Provider Information

NPI Number: 1073172532
Entity Type: Individual
Name: Stephanie M West
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 10, 2019
Last Updated: Jun 10, 2019

Practice Location

Address: 1520 S LIBERTY DR
City: Bloomington
State: Indiana
ZIP Code: 47403-5167
Phone: (812) 676-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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