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Individual

DR. RICHARD K CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
417B S 4TH ST, GADSDEN, AL 35901-5214
(256) 543-9302
(256) 547-6869
Mailing address
PO BOX 1569, GADSDEN, AL 35902-1569
(256) 543-9302
(256) 547-4539

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19865
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000036831
AL
01
051036831
BLUECROSS BLUESHIELD
AL
01
051075525
BLUECROSS BLUESHIELD
AL
Enumeration date
08/18/2006
Last updated
07/08/2007
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