Individual
ROBERTO DANIEL CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3811 E BELL RD STE 309, PHOENIX, AZ 85032
(480) 420-0749
(480) 420-0732
Mailing address
3811 E BELL RD STE 309, PHOENIX, AZ 85032-2160
(480) 420-0749
(480) 420-0732
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2013-00002
NC
207X00000X
Orthopaedic Surgery Physician
21200
MT
207X00000X
Orthopaedic Surgery Physician
Primary
34221
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCB434A
MEDICARE PTAN
NC
01
—
P00817167
MEDICARE RR
—
01
—
P00884670
RR MEDICARE
MD
Enumeration date
01/29/2008
Last updated
10/28/2019
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