Provider Demographics
NPI:1093730905
Name:BUD A. WEST, M. D., LTD.
Entity Type:Organization
Organization Name:BUD A. WEST, M. D., LTD.
Other - Org Name:WEST AND GARRETT EAR NOSE THROAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BUD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-323-2157
Mailing Address - Street 1:343 ELM ST
Mailing Address - Street 2:STE 204
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503
Mailing Address - Country:US
Mailing Address - Phone:775-323-2157
Mailing Address - Fax:775-323-0749
Practice Address - Street 1:343 ELM ST
Practice Address - Street 2:STE 204
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503
Practice Address - Country:US
Practice Address - Phone:775-323-2157
Practice Address - Fax:775-323-0749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVDD5634OtherRAILROAD MEDICARE
NVV101556Medicare ID - Type Unspecified