| Caldwell Medical Group, Pllc | |
|
1099 S Aspen Ave Broken Arrow OK 74012-4839 | |
| (918) 994-7962 | |
| Not Available |
| Full Name | Caldwell Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1099 S Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Kammie Marie Caldwell-watkins (OWNER) |
| Authorized Official Contact | 9184851205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Medical Group, Pllc Po Box 1283 Bixby OK 74008-1130 Ph: () - | Caldwell Medical Group, Pllc 1099 S Aspen Ave Broken Arrow OK 74012-4839 Ph: (918) 994-7962 |
| NPI Number | 1245822881 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245822881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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