Individual
DR. TIMOTHY A WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, STE 400, BOISE, ID 83712-6267
(208) 345-5250
(208) 345-2364
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 345-5250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M7418
ID
207VG0400X
Gynecology Physician
M7418
ID
207VX0000X
Obstetrics Physician
M7418
ID
Other
Enumeration date
05/15/2006
Last updated
09/20/2012
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