Healthcare Provider Details

I. General information

NPI: 1497976294
Provider Name (Legal Business Name): CALEN WHERRY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355TH MEDICAL GROUP 280 FIRST STREET, BLDG 23
DAVIS MONTHAN AFB AZ
85707-4405
US

IV. Provider business mailing address

4175 S ALAMO AVE
DAVIS MONTHAN AFB AZ
85707-4402
US

V. Phone/Fax

Practice location:
  • Phone: 520-228-2615
  • Fax: 520-228-2627
Mailing address:
  • Phone: 520-228-2713
  • Fax: 520-228-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number70703
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number70703
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: