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Individual

DOUGLAS WAYNE WEST JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
1523 HIGHWAY 7 N, CAMDEN, AR 71701-8711
(870) 818-6120
Mailing address
1523 HIGHWAY 7 N, CAMDEN, AR 71701-8711
(870) 818-6120

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2100493
AR
174400000X
Specialist
Primary
2720
AR

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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