Individual
MICHAEL B WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 S SCHWARTZ AVE, SUITE 202, FARMINGTON, NM 87401-5925
(505) 609-6770
(505) 609-6775
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
89130
NM
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
89-130
NM
2085N0904X
Nuclear Radiology Physician
89130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18234
—
NM
Enumeration date
07/26/2006
Last updated
03/29/2018
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