Individual
DANA MADSEN CALCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1014 MADISON ST, OB/GYN ASSOCIATES, JEFFERSON CITY, MO 65101-3458
(573) 632-5510
(573) 632-5810
Mailing address
1014 MADISON ST, OB/GYN ASSOCIATES, JEFFERSON CITY, MO 65101-3458
(573) 632-5510
(573) 632-5810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R6N76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124972
CCN
—
01
—
160042445
RR MEDICARE
—
05
—
247819824
—
MO
01
—
2576582
CIGNA
—
01
—
278924
HEALTHLINK
—
01
—
3854
BLUE CROSS BLUE SHIELD
—
01
—
C15354
RR MEDICARE GROUP
—
01
—
F69930
MERCY
—
Enumeration date
04/19/2006
Last updated
06/17/2009
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