# CALDWELL GENERAL PRACTICE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** General Practice Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467450023
- **Authorized official:** REYNAL LEON CALDWELL SR. D.O. (CEO PHYSICIAN)
- **Authorized official phone:** (314) 521-7768

## Contact information

- **Practice address:** 2880 NETHERTON DR, SUITE 103, ST. LOUIS, MO 63136
- **Practice address phone:** (314) 521-7768
- **Practice address fax:** (314) 838-3683
- **Mailing address:** 2880 NETHERTON DR, SUITE 103, ST. LOUIS, MO 63136
- **Mailing address phone:** (314) 521-7768
- **Mailing address fax:** (314) 838-3683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R5E11 | MO | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 05/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 242386712 | — | MO |