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General NPI Number Information
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NPI Number | 1487660007
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Entity Type | Individual
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Provider Name | ANDREW E. WEST MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 70 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-334-6071
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Fax | 573-334-4739
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Provider Business Mailing Address
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Address Line | 70 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-334-6071
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Fax | 573-334-4739
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 2002010268
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2002010268
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License Number State | MO
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