Individual
DR. CAITLIN GANNON PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7244
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7244
(757) 668-9814
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
0102208511
VA
2080P0210X
Pediatric Nephrology Physician
10784090-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2012
Last updated
06/26/2024
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