Organization
CALDWELL MEDICAL GROUP, PLLC
Active
Organization
CALDWELL MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMMIE CALDWELL M.D. (PHYSICIAN / OWNER)
(918) 485-2104
Entity
Organization
Contact information
Practice address
2109 S HIGHWAY 69, WAGONER, OK 74467-9310
(918) 485-6069
(888) 815-0475
Mailing address
2109 S HIGHWAY 69, WAGONER, OK 74467-9310
(918) 485-6069
(888) 815-0475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
07/14/2026
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