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Individual

DR. JONATHAN CALDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
JUNCTION NAVAJO ROUTE 9, HIGHWAY 371, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C53578
CA
207P00000X
Emergency Medicine Physician
Primary
M-12484
ID
207P00000X
Emergency Medicine Physician
MD181900
OR
207Q00000X
Family Medicine Physician
NM-2001-146
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84377801
NM
Enumeration date
07/03/2006
Last updated
09/11/2017
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