Whalio Doctors

NPI 1144253410

Lewis C Halverson, MD

Practitioner Diagnostic Radiology Physician Bridgeton, MO

Practice location

Address
12266 de Paul Dr STE 315, Bridgeton, MO 63044-2514
Phone
(314) 739-5858
Mailing address
220 Compass Point Dr, Saint Charles, MO 63301-4405

Registered specialties (4)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence R1J93 (MO)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 036078330 (IL)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 036078330 (IL)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence R1J93 (MO)

Registry record

NPI
1144253410
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2006
Record last updated
10 Nov 2020

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.