Individual
DEREK LYNN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Mailing address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4001
OK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4001
OK
207XX0801X
Orthopaedic Trauma Physician
4001
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4001
MEDICAL LICENSE
OK
Enumeration date
05/04/2006
Last updated
07/10/2019
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