Doctor Name: | DANNY DALE WESTER |
NPI Number: | 1275890741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA2048 |
Business Practice Address: | 4307 Highway 66 S Rogersville, TN - 378573155 |
Business Phone Number: | 4239211600 |
Business Fax Number: | 4239211675 |
Mailing Address: | Po Box 850, ROGERSVILLE |
State: | TN |
Postal Code: | 378570850 |
Phone Number: | 4232725600 |
Fax Number: | 4232721428 |
NPI Enumeration Date: | 04/20/2012 |
NPI Last Update Date: | 02/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA2048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |