# MATTHEW GREGORY WEST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811248933
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA0419 | NV | Yes |
| 363A00000X | Physician Assistant | PA1381 | NV | — |

## Other

- **Enumeration date:** 09/28/2012
- **Last updated:** 10/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12436250 | CAQH | — |
| 05 | — | 1811248933 | — | NV |