Organization
WEST CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICH A MOUNCE (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
1251 WESLEY DR, SUITE 107, MEMPHIS, TN 38116-6442
(901) 683-0055
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 322-2955
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704066
—
TN
Enumeration date
06/18/2013
Last updated
06/18/2013
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