Provider Demographics
NPI:1629016266
Name:WEST DERM OFFICES
Entity Type:Organization
Organization Name:WEST DERM OFFICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:REGIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-837-5810
Mailing Address - Street 1:419 W PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2236
Mailing Address - Country:US
Mailing Address - Phone:724-837-5810
Mailing Address - Fax:724-837-3050
Practice Address - Street 1:419 W PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2236
Practice Address - Country:US
Practice Address - Phone:724-837-5810
Practice Address - Fax:724-837-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical