Individual provider · Type 1 NPI
Walter Clinton West Ii, MD
Specialist · Pueblo, CO
NPI number
1528087962
Active
Practice location
1008 Minnequa Ave
Pueblo, CO 81004-3733
Fax (719) 560-4715
Mailing address
445 E Cheyenne Mountain Blvd Ste C Pmb 406
Colorado Springs, CO 80906-4570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 26226 (CO) |
Specialist: 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.
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About NPI 1528087962
Walter Clinton West Ii, MD's National Provider Identifier is 1528087962, issued on Jul 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pueblo, CO. The record was last updated on Mar 7, 2023.