Douglas Wayne West JR., P.T.A.

NPI #1194272674 in Camden, Arkansas

Provider Information

NPI Number: 1194272674
Entity Type: Individual
Name: Douglas Wayne West JR., P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: P.T.A.
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 1523 HIGHWAY 7 N
City: Camden
State: Arkansas
ZIP Code: 71701-8711
Phone: (870) 818-6120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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