Individual
REX DOUGLAS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4774 MCKINLEY DR, BOULDER, CO 80303-1125
(303) 335-7822
Mailing address
4774 MCKINLEY DR, BOULDER, CO 80303-1125
(303) 335-7822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14112
CO
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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