Individual
DR. HENRY H KALDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 S MAIN ST, COTTONWOOD, AZ 86326-3907
(928) 634-7534
Mailing address
214 S MAIN ST, COTTONWOOD, AZ 86326-3907
(928) 634-7534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7977
AZ
207QA0000X
Adolescent Medicine (Family Medicine) Physician
7977
AZ
207QA0505X
Adult Medicine Physician
7977
AZ
208000000X
Pediatrics Physician
7977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203828001
—
AZ
Enumeration date
07/29/2006
Last updated
05/18/2011
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