Individual
DR. WALTER CLINTON WEST II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 560-5656
(719) 560-4715
Mailing address
445 E CHEYENNE MOUNTAIN BLVD STE C PMB 406, COLORADO SPRINGS, CO 80906-4570
(719) 538-8100
(719) 538-8003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26226
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262260
—
CO
01
—
2370237
AETNA
CO
01
—
84145895001
PACIFICARE
CO
Enumeration date
07/18/2006
Last updated
03/07/2023
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