Individual
DR. EDWARD CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-6418
Mailing address
1911 1ST AVE SE, CEDAR RAPIDS, IA 52402-5320
(319) 366-1503
(319) 366-6976
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11692A
WY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
8556
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000013515
—
MT
Enumeration date
05/16/2006
Last updated
01/05/2021
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