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Individual

DR. EDWARD L WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6314 19TH ST W, SUITE 11, FIRCREST, WA 98466-6223
(253) 564-9092
(253) 565-9045
Mailing address
6314 19TH ST WEST, SUITE 11, FIRCREST, WA 98466-6223
(253) 564-9092
(253) 565-9045

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001640
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016752
DEPT OF LABOR & INDUSTRIES
WV
05
1801851852
WA
Enumeration date
04/20/2006
Last updated
12/18/2012
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