MEDICARE: HONORA E CALDWELL

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
1	208D00000X	General Practice Physician	58941	CO

General Provider Information

NPI Number	:	1982747432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONORA E CALDWELL

Provider Business Mailing Address
First Line	:	10065 E HARVARD AVE
Second Line	:	SUITE 250
City	:	DENVER
State	:	CO
Zip	:	80231-5968
Country	:	US
Telephone Number	:	303-614-1131
Fax Number	:

Provider Business Practice Location Address
First Line	:	10065 E HARVARD AVE
Second Line	:	SUITE 250
City	:	DENVER
State	:	CO
Zip	:	80231-5968
Country	:	US
Telephone Number	:	303-614-1131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	10/29/2007

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Directions to “ HONORA E CALDWELL ” Practice Location

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