Individual
VINCENT CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10301 KANIS RD STE 1, LITTLE ROCK, AR 72205-6205
(501) 562-4838
(501) 562-1958
Mailing address
10301 KANIS RD STE 1, LITTLE ROCK, AR 72205-6205
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C8179
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11185
QUALCHOICE OF ARKANSAS
AR
01
—
1220028
UNITED HEALTH CARE NUMBER
AR
05
—
123526001
—
AR
01
—
5J058
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/20/2005
Last updated
03/04/2025
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