Gary West, PA

NPI #1417902545 in Wayne, Nebraska

Provider Information

NPI Number
1417902545
Entity Type
Individual
Name
Gary West, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
May 24, 2006
Last Updated
Oct 17, 2007

Practice Location

Address
615 E 14TH ST
City
Wayne
ZIP Code
68787-1152
Phone
(402) 375-2500

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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