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Mark Rollo Halverson, MD
Diagnostic Radiology Physician in Palo Alto, California
NPI 1619175890

Mark Rollo Halverson is a Diagnostic Radiology Physician based in Palo Alto, CA and is specialized in Diagnostic Radiology. Mark Rollo Halverson practices in Palo Alto, CA and has the professional credentials of MD. The NPI Number for Mark Rollo Halverson is 1619175890 and holds a License No. C195815 (California).

The current practice location address for Mark Rollo Halverson is 725 Welch Rd, Palo Alto, CA and can be reached out via phone at 650-497-8000.

Location: 725 Welch Rd, Palo Alto, CA, 94304-1601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619175890
Provider Name
Mark Rollo Halverson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
725 Welch Rd, Palo Alto, CA, 94304-1601
Phone Number
650-497-8000
Fax Number
Provider Enumeration Date
07/10/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121715004 05 TX
121715008 05 TX
285250104 05 TX
institution
Provider Business Practice Location Address Details
Address
725 Welch Rd
City
Palo Alto
State
California
Zip
94304-1601
Phone Number
650-497-8000
Fax Number
person
Provider Business Mailing Address Details
Address
725 Welch Rd
City
Palo Alto
State
California
Zip
94304-1601
Phone Number
650-497-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
P8785 (Texas)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
MD445798 (Pennsylvania)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
C195815 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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