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Individual

JAMES M WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(800) 893-9698
(337) 371-4656
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
91-366
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66457
NM
01
A006
TRICARE
NM
01
P00306004
RAILROAD MEDICARE
NM
Enumeration date
06/06/2006
Last updated
07/31/2007
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