Individual
DR. CALEB EVANS VIDIC
Active
Individual
DR. CALEB EVANS VIDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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