Individual
CASSIDY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 N M ST, HUGO, OK 74743-1820
(580) 325-7561
Mailing address
RR 1 BOX 836, BOSWELL, OK 74727-9726
(580) 513-6407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2528
OK
Other
Enumeration date
12/21/2015
Last updated
12/30/2015
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