Provider Demographics
NPI:1316086226
Name:WEST, DARREN T (PA-C)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:T
Last Name:WEST
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3302 N MILLER RD
Mailing Address - Street 2:STE D
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6400
Mailing Address - Country:US
Mailing Address - Phone:480-945-6356
Mailing Address - Fax:480-946-9565
Practice Address - Street 1:3302 N MILLER RD
Practice Address - Street 2:STE D
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6400
Practice Address - Country:US
Practice Address - Phone:480-945-6356
Practice Address - Fax:480-946-9565
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR3476363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical