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NPI Code Detail

MEDICARE: DR. GAGE LEE MACALLISTER CALHOON MD

MEDICARE: DR. GAGE LEE MACALLISTER 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
1207X00000XOrthopaedic Surgery Physician41551OK

General Provider Information

NPI Number : 1578185609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAGE LEE MACALLISTER CALHOON MD
Provider Business Mailing Address
First Line : 800 STANTON L YOUNG BLVD # 3422
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5018
Country : US
Telephone Number : 405-271-4426
Fax Number :
Provider Business Practice Location Address
First Line : 800 STANTON L YOUNG BLVD # 3422
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5018
Country : US
Telephone Number : 918-557-2157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 11/04/2023

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