Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD0000008840 | TN |
NPI | 1063744035 |
---|---|
Provider Name | Dr. William Hoath West |
First Address | Memphis, TN 38120-2556 |
Second Address | Memphis, TN 38119-4831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 02/02/2010 |