Individual
GREGORY RYAN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
701 GOLF VIEW DR, MEDFORD, OR 97504-9643
(541) 494-1111
(541) 494-1099
Mailing address
2100 POWELL ST, STE 920, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA204347
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500794455
—
OR
Enumeration date
06/14/2006
Last updated
10/15/2024
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