Individual
DAVID KEITH CALDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE, STE 201, HUNTSVILLE, AL 35801-3754
(256) 535-5944
(256) 535-5959
Mailing address
420 LOWELL DR SE, STE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10438
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004452049
AETNA
—
01
—
11461021
CAQH
—
01
—
51001645
BLUE CROSS BLUE SHIELD
AL
01
—
710981219
TAX ID
—
Enumeration date
11/11/2005
Last updated
02/02/2010
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