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NPI Code Detail

MEDICARE: JULIAN DALE CALHOON MD

MEDICARE: JULIAN DALE CALHOON 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
1207Q00000XFamily Medicine PhysicianC4580AR

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 : 1376549709
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIAN DALE CALHOON MD
Provider Business Mailing Address
First Line : PO BOX 309
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72078-0309
Country : US
Telephone Number : 501-985-5900
Fax Number : 501-985-6016
Provider Business Practice Location Address
First Line : 1300 BRADEN ST
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72076-3719
Country : US
Telephone Number : 501-985-5900
Fax Number : 501-985-6016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 10/29/2008

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Directions to “ JULIAN DALE CALHOON MD” Practice Location

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