Mark Rollo Halverson MD

NPI 1619175890 - Radiology - 2085P0229X

NPI Details
NPI 1619175890
Gender Male
Enumeration Date 07/10/2007
Last Updated 09/19/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
816 W CANNON ST
FORT WORTH TX, 76104-3146, US
Phone (817) 321-0387
Fax
Business Location
816 W CANNON ST
FORT WORTH TX, 76104-3146, US
Phone (817) 321-0387
Fax
Toxanomy
Taxonomy Code 2085P0229X
License State Pennsylvania
License Number MD445798
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According to our database, Mark Rollo Halverson MD NPI is 1619175890, taxonomy code is 2085P0229X and license number is MD445798, license state is located at Pennsylvania. Mark Rollo Halverson MD physically located at 816 W Cannon St, Fort Worth TX, 76104-3146. NPI Number Mark Rollo Halverson MD has the Individual type.

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1619175890 NPI number is provided on an as is basis without warranty of any kind. 1619175890 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Rollo Halverson MD are for informational purposes only.