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Dr. Lewis C Halverson, MD
Diagnostic Radiology Physician in Bridgeton, Missouri
NPI 1144253410

Lewis C Halverson is a Diagnostic Radiology Physician based in Saint Charles, MO and is specialized in Diagnostic Radiology. Lewis C Halverson practices in Bridgeton, MO and has the professional credentials of MD. The NPI Number for Lewis C Halverson is 1144253410 and holds a License No. 036078330 (Missouri).

The current practice location address for Lewis C Halverson is 12266 De Paul Dr Ste 315, Bridgeton, MO and can be reached out via phone at 314-739-5858.

Location: 12266 De Paul Dr Ste 315, Bridgeton, MO, 63301-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144253410
Provider Name
Lewis C Halverson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12266 De Paul Dr Ste 315, Bridgeton, MO, 63301-4405
Phone Number
314-739-5858
Fax Number
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300102491 01 RAILROAD MEDICARE NUMBER
202775904 05 MO
036078330 05 IL
300102486 01 RAILROAD MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
12266 De Paul Dr Ste 315
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-739-5858
Fax Number
person
Provider Business Mailing Address Details
Address
12266 De Paul Dr Ste 315
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-739-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036078330 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
036078330 (Illinois)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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