Individual
DR. JOHN ROBERT WEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
44204
CT
207ND0101X
MOHS-Micrographic Surgery Physician
G61079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010044204CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
05/17/2006
Last updated
10/28/2014
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