Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OP 60353188 | WA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OP 60353188 | WA |
NPI | 1477717072 |
---|---|
Provider Name | Dr. Anthony Andrew West |
First Address | Seattle, WA 98112-5321 |
Second Address | Bellevue, WA 98004-3752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2008 |
Last Update Date | 29/04/2021 |