NPI 1033316773

Jason Halvorson, MD

Practitioner General Acute Care Hospital Winston Salem, NC

Practice location

Address: Dept of Orthopaedic Surgery Medical Center Blvd Wake Forest Baptist Hospital, Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Mailing address: 260 Luzelle Dr, Winston Salem, NC 27103-6464

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 201301088 (NC)

Other General Acute Care Hospital providers in North Carolina →

Registry record

NPI: 1033316773
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2007
Record last updated: 28 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.