Individual
MICHAEL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3490 WSC, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
(385) 439-8843
Mailing address
3490 WSC, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
83230564810
UT
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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