Individual
CONRAD CHESNUT CALDWELL III
Active
Individual
CONRAD CHESNUT CALDWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22805
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
22805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211220A
—
OK
05
—
100211220B
—
OK
01
—
930119846
RR MEDICARE
OK
01
—
930126932
RR MEDICARE
OK
Enumeration date
03/30/2006
Last updated
06/24/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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