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Search › Idaho › 363A00000X

Gloria Calvillo

NPI 1821629288 · on the registry since 2020

Practice

Address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-7401
Organisation at this address
Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Sex
Female
Record last updated
2025-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho