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Dr. John Anthony Calcagno, MD

Pediatrics in Gresham, OR. Individual provider (NPI-1).

NPI number1245220771
StatusActive
Last updated in NPPESOct 14, 2011

Details

NPI
1245220771
Entity type
Individual (NPI-1)
Name
Dr. John Anthony Calcagno
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 26, 2005
Last updated
Oct 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsMD14823ORYes

Practice location

24850 Se Stark St
Ste 150
Gresham, OR 97030-8318

Phone 503-491-0714 · Fax 503-674-2834

Mailing address

24850 Se Stark St
Ste 150
Gresham, OR 97030-8318

Phone 503-491-0714 · Fax 503-674-2834

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