Provider Demographics
NPI:1649346545
Name:WEST, MICHAEL CURTIS JR (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CURTIS
Last Name:WEST
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2809 NE LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:IDABEL
Mailing Address - State:OK
Mailing Address - Zip Code:74745-2421
Mailing Address - Country:US
Mailing Address - Phone:580-286-6688
Mailing Address - Fax:580-286-6699
Practice Address - Street 1:403 S INDIAN RD
Practice Address - Street 2:
Practice Address - City:IDABEL
Practice Address - State:OK
Practice Address - Zip Code:74745-5458
Practice Address - Country:US
Practice Address - Phone:580-286-6688
Practice Address - Fax:580-286-6699
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2024-06-18
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Provider Licenses
StateLicense IDTaxonomies
OK20377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100254500AMedicaid
H25457Medicare UPIN