Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallary West, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164985917

Mallary West, DO is a Student in an Organized Health Care Education/Training Program in Edina, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6517 Drew Ave S
Edina, MN 55435-2103
Phone: (952) 920-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 365-6777

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 71840 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164985917
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address6517 Drew Ave S, Edina, MN 55435-2103

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