Individual
DR. DUSTIN JAY HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 BODIN CIR BLDG 777, TRAVIS AFB, CA 94535-1802
(707) 423-5323
Mailing address
101 BODIN CIR BLDG 777, TRAVIS AFB, CA 94535-1802
(707) 423-5323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V3608
TX
208D00000X
General Practice Physician
Primary
V3608
TX
Other
Enumeration date
03/28/2023
Last updated
06/16/2026
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