Individual
STEWART W WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 N 1100 E, SUITE 301, AMERICAN FORK, UT 84003-2935
(801) 492-2300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 491-6482
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
10128
MT
207N00000X
Dermatology Physician
Primary
5348841-1205
UT
207ND0101X
MOHS-Micrographic Surgery Physician
10128
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047710
—
MT
Enumeration date
08/03/2005
Last updated
11/17/2014
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