NPI 1386833358

Mark Lewis Vandewalker, MD

Practitioner Allergy Physician Columbia, MO

Practice location

Address: 601 W Nifong Blvd Suite 2b, Columbia, MO 65203-6804
Phone: (573) 446-7000
Fax: (573) 445-1000

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence R2F17 (MO)

Other Allergy & Immunology providers in Missouri →

Registry record

NPI: 1386833358
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2007
Record last updated: 16 Oct 2007

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.