Healthcare Provider Details

I. General information

NPI: 1093730905
Provider Name (Legal Business Name): BUD A. WEST, M. D., LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 ELM ST STE 204
RENO NV
89503
US

IV. Provider business mailing address

343 ELM ST STE 204
RENO NV
89503
US

V. Phone/Fax

Practice location:
  • Phone: 775-323-2157
  • Fax: 775-323-0749
Mailing address:
  • Phone: 775-323-2157
  • Fax: 775-323-0749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: BUD A WEST
Title or Position: PHYSICIAN
Credential: MD
Phone: 775-323-2157