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NPI Code Detail

MEDICARE: DR. DAVID L CALDWELL M.D.

MEDICARE: DR. DAVID L CALDWELL M.D.
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
1207VG0400XGynecology PhysicianR2554AR

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 : 1538253265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L CALDWELL M.D.
Provider Business Mailing Address
First Line : PO BOX 1615
Second Line :
City : SEARCY
State : AR
Zip : 72145-1615
Country : US
Telephone Number : 501-776-6093
Fax Number : 501-776-6019
Provider Business Practice Location Address
First Line : 910 N EAST ST
Second Line :
City : BENTON
State : AR
Zip : 72015-3327
Country : US
Telephone Number : 501-778-0427
Fax Number : 501-778-5993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/23/2014

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Directions to “ DR. DAVID L CALDWELL M.D.” Practice Location

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