NPI 1063411536 · live from the CMS NPI Registry
Paul Edward Callicoat, MD
Internal Medicine, Cardiovascular Disease in Grove, OK. National Provider Identifier 1063411536, active.
NPI record
| NPI | 1063411536 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 900 E 13th St, Suite 200, Grove, OK 74344 |
| Practice phone | 918-786-7667 |
| Mailing address | Po Box 450968, Grove, OK 74345 |
| Enumerated | July 18, 2005 |
| Last updated | May 20, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 17987 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.