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Organization

WESTERN MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT WEST MD (PHYSICIAN OWNER)
(623) 363-0242
Entity
Organization

Contact information

Practice address
21554 N 57TH AVE, GLENDALE, AZ 85308
(623) 363-0242
Mailing address
21554 N 57TH AVE, GLENDALE, AZ 85308-6227
(623) 363-0242

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26219
MEDICAL LICENSE
AZ
Enumeration date
09/14/2017
Last updated
07/21/2022
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