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Mr. Calvin Dale Vidrine, CRARJRN
Diagnostic Radiology Physician in Opelousas, Louisiana
NPI 1639122195

Calvin Dale Vidrine is a Diagnostic Radiology Physician based in Opelousas, LA and is specialized in Diagnostic Radiology. Calvin Dale Vidrine practices in Opelousas, LA and has the professional credentials of CRARJRN. The NPI Number for Calvin Dale Vidrine is 1639122195 and holds a License No. 10041005 (Louisiana).

The current practice location address for Calvin Dale Vidrine is 174 Grant Rd, Opelousas, LA and can be reached out via phone at 337-594-9637 and via fax at 337-948-4556.

Location: 174 Grant Rd, Opelousas, LA, 70571-1939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639122195
Provider Name
Calvin Dale Vidrine
Credential
CRARJRN
Provider Entity Type
Individual
Gender
Male
Address
174 Grant Rd, Opelousas, LA, 70571-1939
Phone Number
337-594-9637
Fax Number
337-948-4556
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1664669 05 LA
2000777340 01 LA BCBS
institution
Provider Business Practice Location Address Details
Address
174 Grant Rd
City
Opelousas
State
Louisiana
Zip
70570-0720
Phone Number
337-594-9637
Fax Number
337-948-4556
person
Provider Business Mailing Address Details
Address
174 Grant Rd
City
Opelousas
State
Louisiana
Zip
70570-0720
Phone Number
337-594-9637
Fax Number
337-948-4556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
10041005 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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