Individual
JUSTIN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7836
Mailing address
1058 N TAMIAMI TRL, APT 108 #231, SARASOTA, FL 34236-2427
(734) 846-2388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125160
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
4704304021
MI
367500000X
Certified Registered Nurse Anesthetist
APRN11001696
FL
Other
Enumeration date
01/18/2019
Last updated
05/09/2022
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