Individual
DR. STEVEN DONNELLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7213
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
155034
CA
2085R0202X
Diagnostic Radiology Physician
MD-52752
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376981183
—
WA
Enumeration date
06/13/2013
Last updated
04/12/2024
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