Individual
MITCHELL WEST
Active
Individual
MITCHELL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS-004799-L
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
OS004799L
PA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
OS004799L
PA
Other
Enumeration date
11/21/2014
Last updated
10/17/2023
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