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Organization

WEST CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE M COPLON (CEO)
(901) 683-0055
Entity
Organization

Contact information

Practice address
55 HUMPHREYS CTR, SUITE 100, MEMPHIS, TN 38120-2374
(901) 683-0055
(901) 322-2970
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120
(901) 683-0055
(901) 322-2970

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106442
TN BCBS
TN
05
09013755
MS
05
132175002
AR
05
3704066
TN
05
500557509
MO
01
8P003
AR BCBS
AR
Enumeration date
01/02/2008
Last updated
06/18/2009
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