| Western Medical Llc | |
|
21554 N 57th Ave Glendale AZ 85308 | |
| (623) 363-0242 | |
| Not Available |
| Full Name | Western Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21554 N 57th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Robert West (PHYSICIAN OWNER) |
| Authorized Official Contact | 6233630242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Medical Llc 21554 N 57th Ave Glendale AZ 85308-6227 Ph: (623) 363-0242 | Western Medical Llc 21554 N 57th Ave Glendale AZ 85308 Ph: (623) 363-0242 |
| NPI Number | 1760901375 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760901375 | NPI | - | NPPES |
| 26219 | Other | AZ | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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