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Contact Information

EDYE A CALDERON, PAC
319 E JOSEPHINE
FREDERICK, OK73542
 Phone: 580-335-7545
 Fax: 580-335-7619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EDYE A CALDERON · (Female)

NPI Number 1669577474
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/14/2006
Last updated 08/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2868
  • OK License # 1645
  • AZ Medicaid 816176
  • OK Medicaid 200116340A
  • OK Other 242722104 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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