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Individual

DR. JAY E CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4700 N CAMINO CORTO, TUCSON, AZ 85718-6011
(520) 299-4572
(520) 398-4375
Mailing address
PO BOX 65587, TUCSON, AZ 85728-5587
(520) 299-4572
(520) 398-4375

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
1526
AK
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
33152
AZ

Other

Enumeration date
12/27/2011
Last updated
12/27/2011
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