Individual
DUSTIN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236
(210) 292-6225
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
65116-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
R7893
TX
Other
Enumeration date
03/01/2011
Last updated
04/22/2024
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