Organization
WEST CLINIC, P.C.
Active
Parent organization
WEST CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CLINIC, P.C.
Authorized official
MR. ERICH A. MOUNCE (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
1522 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 762-1660
(870) 762-1692
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-2969
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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