Individual
CHARLES W CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1013 MARCASSIN DR, COLUMBIA, MO 65201-7196
(573) 442-8442
Mailing address
1013 MARCASSIN DR, COLUMBIA, MO 65201-7196
(573) 442-8442
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
36270
MO
207ZF0201X
Forensic Pathology Physician
36270
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36270
MO
Other
Enumeration date
05/30/2006
Last updated
06/23/2013
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