Provider Demographics
NPI:1487477477
Name:BALDING, CAITLIN TODD
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:TODD
Last Name:BALDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 WILLOW POND RD
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-9503
Mailing Address - Country:US
Mailing Address - Phone:405-430-1003
Mailing Address - Fax:
Practice Address - Street 1:3400 WILLOW POND RD
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-9503
Practice Address - Country:US
Practice Address - Phone:405-430-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife