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MR. DAN RAYMOND CALDERON PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1639153109

Individual Registrant:
MR. DAN RAYMOND CALDERON PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5955 ZEAMER AVENUE ELMENDORF AFB ANCHORAGE, AK 99506-2011 US
Tel: 907-580-2322  Fax: --

Contact information for business:
5955 ZEAMER AVENUE ELMENDORF AFB ANCHORAGE, AK 99506-2011 US
Tel: --  Fax: --

Registration Information:
NPI: 1639153109
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CO1047311

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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