Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 20A6927 | CA |
Y | 207Q00000X | Family Doctor | 9897237-1204 | UT |
N | 207Q00000X | Family Doctor | DO1441 | NV |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 9897237-1204 | UT |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 9897237-1204 | UT |
NPI | 1679673420 |
---|---|
Provider Name | Dr. Judy L. Caldwell |
First Address | Saint George, UT 84790-4944 |
Second Address | Saint George, UT 84790-4944 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H44176 | (02) | CA |