Individual
CORDELL K HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MILLS AVE, SUITE 100, LAS VEGAS, NM 87701-4169
(505) 425-3569
Mailing address
105 MILLS AVE, SUITE 100, LAS VEGAS, NM 87701-4169
(505) 425-3569
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
74-173
NM
Other
Enumeration date
06/26/2006
Last updated
01/31/2008
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