Individual
MR. R WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15411 W WADDELL RD STE 102, SURPRISE, AZ 85379-5170
(623) 396-6840
Mailing address
15411 W WADDELL RD STE 102, SURPRISE, AZ 85379-5170
(623) 396-6840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
10/14/2025
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