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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CALVIN DALE VIDRINE, CRA RJ RN

Active Sole Proprietor

MR. CALVIN DALE VIDRINE, CRA RJ RN is a Diagnostic Radiology healthcare provider located in OPELOUSAS, Louisiana. NPI 1639122195 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · OPELOUSAS, LA

Registration Details

NPI Number
1639122195
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2006 (20.246986110572 yrs)
Last Updated
Feb 29, 2012
License
10041005 (LA)
Sole Proprietor
Yes

Practice Information

Address
174 GRANT RD
OPELOUSAS, LA, 705700720
Browse LA providers · Browse ZIP 70570
Phone
3375949637
Fax
3379484556
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in OPELOUSAS, LA

Name Credential NPI
DR. PAULA M. SHARKEY M.D. 1578556783
DR. EDWARD DANIEL WILLETT 1902859762
DR. GERARD A. BALLANCO JR. M.D. 1053330779
CAROL PRATT BECKER MD 1639192578
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.