Douglas Edison West, PAC
NPI #1104884295 in Walla Walla, Washington
Provider Information
- NPI Number
- 1104884295
- Entity Type
- Individual
- Name
- Douglas Edison West, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- May 1, 2006
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 301 W POPLAR ST
- Address 2
- STE 220
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2858
- Phone
- (509) 522-1030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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