| Doctor Name: | DR. TRACY J WEST |
| NPI Number: | 1790762185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 4236 |
| Business Practice Address: | 649 S 30th Cir Mesa, AZ - 852043119 |
| Business Phone Number: | 4802275514 |
| Business Fax Number: | 4805022430 |
| Mailing Address: | 649 S 30th Cir, MESA |
| State: | AZ |
| Postal Code: | 852043119 |
| Phone Number: | 4802275514 |
| Fax Number: | 4805022430 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 11/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4236 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |