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Organization

WEST CLINIC, PC

Active
Other names
West Clinic PhD's
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE M COPLON (CEO)
(901) 683-0055
Entity
Organization

Contact information

Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-2969
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-2969

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3704066
TN
05
3704067
TN
Enumeration date
07/20/2006
Last updated
01/14/2008
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