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Individual

ALVIN S CALDERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
(206) 515-5886

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00042786
WA
208M00000X
Hospitalist Physician
Primary
MD00042786
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR & INDUSTRY
WA
01
0094CA
BLUE SHIELD
WA
05
8379422
WA
01
MD0094W
ALASKA MEDICAID
WA
01
US7038481
AETNA/USHC SPECIALIST
WA
Enumeration date
08/30/2006
Last updated
05/04/2010
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