Individual
THOMAS MARK WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18829 N 25TH ST, PHOENIX, AZ 85050-3116
(720) 425-0713
Mailing address
18829 N 25TH ST, PHOENIX, AZ 85050-3116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9761
AZ
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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