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Individual

BRENDA WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6148 E 43RD PL, INDIANAPOLIS, IN 46226-3606
(765) 326-9400
Mailing address
6148 E 43RD PL, INDIANAPOLIS, IN 46226-3606
(765) 326-9400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TPPA660
FL
363AM0700X
Medical Physician Assistant
Primary
10004826A
IN
363AM0700X
Medical Physician Assistant
10520
AZ

Other

Enumeration date
05/01/2024
Last updated
04/15/2026
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