Individual
MR. GREGORY V WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 E. WALNUT LAWN STREET, SUITE 201, SPRINGFIELD, MO 65807
(417) 269-4450
(417) 269-8333
Mailing address
960 E. WALNUT LAWN STREET, SUITE 201, SPRINGFIELD, MO 65807
(417) 269-4450
(417) 269-8333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116239
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110248694
RAILROAD MEDICARE
—
05
—
209988336
—
MO
01
—
431560263067
TRICARE
—
Enumeration date
12/04/2006
Last updated
07/21/2022
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