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Individual
TIMOTHY ADAM CALLAHAN
Active
Individual
TIMOTHY ADAM CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
314106-1206
UT
363AM0700X
Medical Physician Assistant
314106-8906
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00228226
RAILROAD MEDICARE
UT
Enumeration date
07/31/2006
Last updated
03/31/2025
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