Provider Demographics
NPI:1043271174
Name:WEST, DAVID R (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6601 S MINNESOTA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2564
Mailing Address - Country:US
Mailing Address - Phone:605-336-6294
Mailing Address - Fax:605-336-0266
Practice Address - Street 1:6601 S MINNESOTA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-336-6294
Practice Address - Fax:605-336-0266
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2023-01-03
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Provider Licenses
StateLicense IDTaxonomies
SD2752207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2752OtherDAKOTACARE
MN116128OtherUCRE MN
HP24817OtherHEALTHPARTNERS
IA0000748OtherWELLMARK OF IA
IA0000748OtherIA WELLMARK
IA0947739Medicaid
NE46031185613Medicaid
SD0748OtherWELLMARK OF SD
ND18058Medicaid
MN18897WEOtherBLUE SHIELD OF MN
MN516893700Medicaid
MN68A71WEOtherMNBS-MN
SD6300370Medicaid
SD6300370Medicaid
HP24817OtherHEALTHPARTNERS
MN180041446Medicare PIN
MN189000463Medicare PIN
SDS40042Medicare PIN