Organization
ROBERT L CALDWELL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L CALDWELL MD (OWNER)
(253) 564-0654
Entity
Organization
Contact information
Practice address
4905 108TH ST SW, TACOMA, WA 98499-3724
(253) 581-3075
(253) 581-3178
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 584-3577
(253) 584-8916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107945
—
WA
01
—
130531
L&I
WA
Enumeration date
08/10/2007
Last updated
02/11/2008
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