Individual
DR. JONATHAN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3205
Mailing address
PO BOX 28951, FRESNO, CA 93729-8951
(888) 398-1370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G79779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G797790
BS OF CA
—
05
—
00G797790
—
CA
01
—
G79779
COUNTY OF FRESNO
—
Enumeration date
06/08/2006
Last updated
10/25/2013
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