Organization
CALDWELL MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMMIE MARIE CALDWELL-WATKINS MD (OWNER)
(918) 485-1205
Entity
Organization
Contact information
Practice address
1099 S ASPEN AVE, BROKEN ARROW, OK 74012-4839
(918) 994-7962
Mailing address
PO BOX 1283, BIXBY, OK 74008-1130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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