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Individual
MICHAEL CALLAHAN
Active
Individual
MICHAEL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
160421-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00529
UNITED HEALTHCARE
UT
01
—
107006256103
IHC
UT
01
—
215835
ALTIUS
UT
01
—
3362695
CIGNA
UT
01
—
36397
DMBA
UT
01
—
78392
PEHP
UT
05
—
870281028000
—
UT
01
—
P00124656
PALMETTO GBA
—
Enumeration date
06/04/2006
Last updated
10/22/2007
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