Individual
VINCENT CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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