Organization
WEST CLINIC PC
Active
Organization
WEST CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON DAVIS (CFO)
(901) 322-9080
Entity
Organization
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 322-9080
(901) 322-2955
Mailing address
6215 HUMPHREYS BLVD, SUITE 505, MEMPHIS, TN 38120-2367
(901) 322-9080
(901) 322-2955
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
Update your record
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