Individual
BERNIE M CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3424 CYPRESS ST, WEST MONROE, LA 71291-7310
(318) 450-4626
(318) 600-4078
Mailing address
10319 JEFFERSON HWY, BATON ROUGE, LA 70809-2730
(225) 241-9935
(225) 367-1060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10383.RX
LA
Other
Enumeration date
12/15/2005
Last updated
03/20/2020
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