Edye A Calderon, PAC

NPI #1669577474 in Frederick, Oklahoma

Provider Information

NPI Number: 1669577474
Entity Type: Individual
Name: Edye A Calderon, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 14, 2006
Last Updated: Aug 13, 2008

Practice Location

Address: 319 E JOSEPHINE
City: Frederick
State: Oklahoma
ZIP Code: 73542
Phone: (580) 335-7545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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