WEST CLINIC PC NPI 1902081557

NPI Information

WEST CLINIC, PC is a radiation oncology radiology in Southaven, MS. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. WEST CLINIC, PC NPI is 1902081557. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7601 SOUTHCREST PKWY
SOUTHAVEN, MS
ZIP 38671-739
Phone: (901) 683-0055
Fax: (901) 322-2970

The provider's authorized official is Steve M Coplon .
The authorized official title is Ceo and has the following contact phone number (901) 683-0055.

The CLIA number assigned to this NPI record is 25D0897944 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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