Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL EDWARD CALLICOAT JR., MD
Active Sole ProprietorMR. PAUL EDWARD CALLICOAT JR., MD is a Cardiovascular Disease healthcare provider located in GROVE, Oklahoma. NPI 1063411536 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · GROVE, OK
Registration Details
- NPI Number
- 1063411536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (21.095294725443 yrs)
- Last Updated
- May 20, 2010
- License
-
17987 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 E 13TH STSUITE 200GROVE, OK, 743442975Browse OK providers · Browse ZIP 74344
- Phone
- 9187867667
- Fax
- 9187867699
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.