Individual
MS. AMY SUE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16611 S 40TH ST STE 100, PHOENIX, AZ 85048-0563
(480) 610-6366
(480) 833-1653
Mailing address
16611 S. 40TH STREET, SUITE #100, PHOENIX, AZ 85048-0563
(480) 610-8366
(480) 833-1653
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9057
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q0282
MEDICARE GROOUP
FL
Enumeration date
12/19/2005
Last updated
12/13/2023
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