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Individual

DR. VICTOR CALCOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-8874
(228) 497-8869

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MS16029
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120072
MS
05
009926445
AL
01
220025028
MEDICARE RAILROAD
01
646000515
BLUE CROSS OF MS
Enumeration date
01/17/2007
Last updated
08/22/2013
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