Organization
WEST CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RON DAVIS (CFO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 692-9600
(901) 692-9609
Mailing address
PO BOX 240728, MEMPHIS, TN 38124-0728
(901) 737-1992
(901) 309-8784
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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