Individual
MR. DANNY L WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 LIVERMORE DR, PEMBROKE, NC 28372-7270
(910) 521-8484
(910) 521-9765
Mailing address
102 LIVERMORE DR, PEMBROKE, NC 28372-7270
(910) 521-8484
(910) 521-9765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129YX
BCBS ID
NC
01
—
2285782A
MEDICARE NUMBER
NC
05
—
89129YX
—
NC
Enumeration date
07/18/2005
Last updated
01/17/2014
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