Basic Information
| Provider Information | |||||||||
| NPI: | 1548403447 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAJIGAL | ||||||||
| FirstName: | CALVIN | ||||||||
| MiddleName: | GERARD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 339 CONSORT DR | ||||||||
| Address2: | |||||||||
| City: | BALLWIN | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630114439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6363869224 | ||||||||
| FaxNumber: | 6363867679 | ||||||||
| Practice Location | |||||||||
| Address1: | 1070 OLD DES PERES RD | ||||||||
| Address2: | |||||||||
| City: | DES PERES | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631311865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148218644 | ||||||||
| FaxNumber: | 3148214858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2009 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 2016012612 | MO | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0014X | 2016012612 | MO | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.