Individual
JOSE WILFRIDO CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 S GEAR AVE, W BURLINGTON, IA 52655-1679
(319) 753-2491
(319) 753-2491
Mailing address
727 S. GARFIELD AVE, P.O. BOX 752, BURLINGTON, IA 52601-0752
(319) 753-2491
(319) 753-2491
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2007
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285098
—
IA
01
—
28509
BLUE CROSS-BLUE SHIELD
IA
Enumeration date
05/05/2006
Last updated
07/08/2007
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