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Individual
SAMUEL G WEST
Active
Individual
SAMUEL G WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC16967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497951834
GROUP NPI
CA
01
—
DC0169670
BLUE SHIELD
CA
01
—
DC16967
CHIROPRACTIC LICENSE
CA
01
—
W22568
GROUP PTAN
CA
01
—
WDC16967A
IND PTAN
CA
Enumeration date
10/12/2006
Last updated
11/08/2010
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