Whalio Doctors

NPI 1497721088

Mark D Wittry, MD

Practitioner Nuclear Medicine Physician Saint Louis, MO

Practice location

Address
615 S New Ballas Rd Dept of Nuclear Medicine, Saint Louis, MO 63141-8221
Phone
(314) 251-6465
Fax
(314) 251-4286
Mailing address
11475 Olde Cabin Rd Suite 200, Saint Louis, MO 63141-7128

Registered specialties (5)

Nuclear Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence R5F02 (MO)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence R5F02 (MO)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence R5F02 (MO)
Nuclear Imaging & Therapy Physician
Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence R5F02 (MO)
Nuclear Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 036069181 (IL)

Registry record

NPI
1497721088
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Feb 2006
Record last updated
22 Feb 2016

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.