Doctor Name: | RUTH M WEST |
NPI Number: | 1043215221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 811 |
Business Practice Address: | 900 N Orange St Suite #207 Missoula, MT - 598022998 |
Business Phone Number: | 4067214540 |
Business Fax Number: | |
Mailing Address: | 11590 Chumrau Loop, MISSOULA |
State: | MT |
Postal Code: | 598029506 |
Phone Number: | 4062405843 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 09/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 811 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |