Individual
ALICE D. CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3246
Mailing address
10748 CRYSTAL CYN, PARKER, AZ 85344-9435
(559) 240-4430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G50521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
03/07/2006
Last updated
08/22/2013
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