Individual
STEPHANIE M WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
(812) 339-8399
Mailing address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
(812) 339-8399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002710A
IN
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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