| Organization Name: | WEST FAMILY PRACTICE AND OBSTETRICS |
| NPI Number: | 1003996224 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALD C WEST (OWNER) |
| Mailing Address: | 1510 E Wagon Wheel Ln Suite 106 Fort Mohave |
| State: | AZ US |
| Postal Code: | 864266697 |
| Phone Number: | 9287889378 |
| Fax Number: | 9287889381 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 02/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 27671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |