Individual
DR. DANIEL CHARLES WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD DEPT OF, PHILADELPHIA, PA 19104-4319
(530) 574-8304
Mailing address
3401 CIVIC CENTER BLVD DEPT OF, PHILADELPHIA, PA 19104-4319
(530) 574-8304
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
468849
PA
2080P0207X
Pediatric Hematology & Oncology Physician
G61234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G0612340
—
CA
Enumeration date
12/14/2005
Last updated
09/30/2021
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