Healthcare Provider Details

I. General information

NPI: 1407818800
Provider Name (Legal Business Name): ARTHUR NELSON WEST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE 311
WASHINGTON DC
20017-2107
US

IV. Provider business mailing address

1160 VARNUM ST NE 311
WASHINGTON DC
20017-2107
US

V. Phone/Fax

Practice location:
  • Phone: 202-832-2880
  • Fax: 202-832-0456
Mailing address:
  • Phone: 202-832-2880
  • Fax: 202-832-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD14799
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: