Provider Demographics
NPI:1053341867
Name:HEALTHWEST,LLC
Entity type:Organization
Organization Name:HEALTHWEST,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIACHESLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATONOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-330-4587
Mailing Address - Street 1:2203 DEVONSBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-4519
Mailing Address - Country:US
Mailing Address - Phone:314-330-4587
Mailing Address - Fax:636-530-9702
Practice Address - Street 1:1111 E 6TH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-3308
Practice Address - Country:US
Practice Address - Phone:636-239-1766
Practice Address - Fax:636-239-2964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty