Organization
SOUTHERN COLORADO EMERGENCY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER C WEST MD (CEO)
(719) 538-8100
Entity
Organization
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 560-5656
(719) 560-4715
Mailing address
445 E CHEYENNE MOUNTAIN BLVD STE C, PMB 406, COLORADO SPRINGS, CO 80906-4570
(719) 538-8100
(719) 538-8003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17229260
—
CO
01
—
2370237
AETNA
CO
01
—
CH4783
RAILROAD MEDICARE
CO
01
—
SO641446
BLUE CROSS
CO
Enumeration date
07/09/2006
Last updated
04/20/2008
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