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NPI Code Detail

MEDICARE: JAMES E CALDWELL MD

MEDICARE:   JAMES E CALDWELL  MD
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
1207L00000XAnesthesiology Physician39723CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992700694
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E CALDWELL MD
Provider Business Mailing Address
First Line : 1218 N MAIN ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-2828
Country : US
Telephone Number : 719-543-7877
Fax Number : 719-543-7882
Provider Business Practice Location Address
First Line : 400 W 16TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-2745
Country : US
Telephone Number : 719-584-4420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 11/06/2007

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Directions to “ JAMES E CALDWELL MD” Practice Location

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