Provider Demographics
NPI:1770645137
Name:WEST, CORINNE ELIZABETH (DO)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:ELIZABETH
Last Name:WEST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:ELIZABETH
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:DARNALL MEDICAL CENTER
Mailing Address - Street 2:DEPT OF PEDIATRICS
Mailing Address - City:FORT HOOD
Mailing Address - State:TN
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-286-7700
Mailing Address - Fax:
Practice Address - Street 1:DARNALL MEDICAL CENTER
Practice Address - Street 2:DEPT OF PEDIATRICS
Practice Address - City:FORT HOOD
Practice Address - State:TN
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-286-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7416208000000X
IA02967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics