Individual
REYNAL LEON CALDWELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2880 NETHERTON DR, SUITE 103, SAINT LOUIS, MO 63136-4697
(314) 521-7768
(314) 838-3683
Mailing address
2880 NETHERTON DR, SUITE 103, SAINT LOUIS, MO 63136-4697
(314) 521-7768
(314) 838-3683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5E11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242386712
—
MO
Enumeration date
07/13/2006
Last updated
08/03/2012
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