| Gary D West. Msw, Pc | |
|
2985 Broadmoor Valley Rd Ste 9 Colorado Springs CO 80906-4484 | |
| (719) 576-6617 | |
| (719) 597-9792 |
| Full Name | Gary D West. Msw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2985 Broadmoor Valley Rd Ste 9, Colorado Springs, Colorado |
| Authorized Official Name and Position | Gary D West (PRESIDENT) |
| Authorized Official Contact | 7195766617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D West. Msw, Pc 2985 Broadmoor Valley Rd Ste 9 Colorado Springs CO 80906-4484 Ph: (719) 576-6617 | Gary D West. Msw, Pc 2985 Broadmoor Valley Rd Ste 9 Colorado Springs CO 80906-4484 Ph: (719) 576-6617 |
| NPI Number | 1104069434 |
|---|---|
| Provider Enumeration Date | 04/16/2009 |
| Last Update Date | 04/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104069434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 876330 (Colorado) | Primary |
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