Individual
DEREK THOMAS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2820 HPER CENTER, SOUTH DAKOTA STATE UNIVERSITY, BROOKINGS, SD 57007-1497
(605) 688-4003
Mailing address
2110 RIO GRAND AVE, BROOKINGS, SD 57006-7277
(605) 730-2417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0376
SD
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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