Individual
CAITLIN BRIANNE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4637 121ST ST, URBANDALE, IA 50323-2311
(515) 655-7080
(515) 655-7090
Mailing address
4637 121ST ST, URBANDALE, IA 50323-2311
(515) 655-7080
(515) 655-7090
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
MD-42448
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-42448
IA
Other
Enumeration date
05/04/2010
Last updated
07/05/2023
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