Doctor Name: | DR. RICHARD JOE WEST |
NPI Number: | 1801843123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD0000014288 |
Business Practice Address: | 251 Joy Alford Way Carthage, TN - 370303047 |
Business Phone Number: | 6157350242 |
Business Fax Number: | 6157358250 |
Mailing Address: | 1100 England Dr, Ucro COOKEVILLE |
State: | TN |
Postal Code: | 385010924 |
Phone Number: | 9315287531 |
Fax Number: | 9315200413 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD0000014288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |