Individual
MRS. CAITLIN SMITH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 RIDGE ST STE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5899
Mailing address
58655 284TH ST, MALVERN, IA 51551-5219
(402) 807-3406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A165442
IA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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