Individual
DAVID WARREN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7510
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7510
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD18920
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD00049252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8264426
—
WA
Enumeration date
11/21/2005
Last updated
01/24/2020
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