Individual
DR. CALEB EVANS VIDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2024018266
MO
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0075309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029711
KAISER COMMERCIAL NUMBER
CO
05
—
200142681
—
MO
Enumeration date
03/25/2019
Last updated
08/29/2025
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