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Individual
THOMAS RALPH CALLIHAN
Active
Individual
THOMAS RALPH CALLIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD0000012403
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005314
MEMPHIS MANAGED CARE
TN
05
—
0010000
—
MS
05
—
113804001
—
AR
05
—
202438179
—
MO
01
—
3031624
BLUE CROSS BLUE SHIELD
TN
05
—
3031624
—
TN
05
—
3040704
—
TN
01
—
82573
BLUE CROSS
AR
Enumeration date
07/10/2006
Last updated
12/09/2008
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