Individual
DR. JASON WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC NMD
Contact information
Practice address
1185 CALL PL, POCATELLO, ID 83201-3034
(208) 232-3216
(208) 232-9412
Mailing address
1185 CALL PLACE, POCATELLO, ID 83201-2949
(208) 232-3216
(208) 232-9412
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
CHIA940
ID
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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