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NPI Code Detail

MEDICARE: ALEXANDRIA CALDWELL DO

MEDICARE: ALEXANDRIA CALDWELL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician5533OK

General Provider Information

NPI Number : 1972949238
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA CALDWELL DO
Provider Business Mailing Address
First Line : PO BOX 776084
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6084
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 E MEMORIAL RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73131-1253
Country : US
Telephone Number : 405-341-7009
Fax Number : 405-330-1811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2013
Last Update Date : 02/19/2026

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Directions to “ ALEXANDRIA CALDWELL DO” Practice Location

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