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Individual

MICHAEL V CALVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
7001 SIGNAL AVE NE, ALBUQUERQUE, NM 87113-2453
(505) 856-2735
(505) 856-2749
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2020-0074
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03621243
NM
01
1G9384
MEDICARE PTAN
NM
01
1G9388
MEDICARE PTAN
NM
Enumeration date
11/14/2008
Last updated
10/30/2023
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