# BRANDON A WEST, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780808022
- **Authorized official:** BRANDON A. WEST (OWNER)
- **Authorized official phone:** (208) 232-1000

## Contact information

- **Practice address:** 1133 CALL CREEK PLACE, SUITE A, POCATELLO, ID 83201
- **Practice address phone:** (208) 232-1000
- **Mailing address:** PO BOX 4868, POCATELLO, ID 83205-4868
- **Mailing address phone:** (208) 232-1000
- **Mailing address fax:** (208) 232-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/18/2021