-- MARK D WITTRY -- MD
Individual Provider (NPI-1)
Active
Nuclear Medicine
Provider Information
- NPI Number
1497721088- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 615 S NEW BALLAS RD DEPT OF NUCLEAR MEDICINE, SAINT LOUIS, MO, 631418221
- Phone
- (314) 251-6465
- Fax
- (314) 251-4286
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: MO #R5F02
Nuclear Medicine
Primary License: MO #R5F02
Internal Medicine, Cardiovascular Disease
License: MO #R5F02
Nuclear Medicine, Nuclear Imaging & Therapy
License: MO #R5F02
Nuclear Medicine
License: IL #036069181