Individual
CALVIN DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003749A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/08/2022
Last updated
07/19/2024
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