Provider Demographics
NPI:1982843793
Name:CALHOON, SCOTT W (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:W
Last Name:CALHOON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NICHOLS HILLS
Mailing Address - State:OK
Mailing Address - Zip Code:73116-5207
Mailing Address - Country:US
Mailing Address - Phone:405-948-1556
Mailing Address - Fax:405-948-1048
Practice Address - Street 1:210 PARK AVE
Practice Address - Street 2:SUITE 2820
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-5636
Practice Address - Country:US
Practice Address - Phone:405-948-1556
Practice Address - Fax:405-948-1048
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK11400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD34468Medicare UPIN