Individual
DR. DEBRA BETH WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4107
(319) 356-3715
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4107
(319) 356-3715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
226658
MA
208000000X
Pediatrics Physician
25MA04720100
NJ
208000000X
Pediatrics Physician
Primary
38049
IA
208000000X
Pediatrics Physician
45397
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634930700
—
MN
Enumeration date
06/17/2005
Last updated
11/07/2008
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