Individual
CALLISTA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4301 5TH STREET HWY, TEMPLE, PA 19560-1739
(610) 208-8801
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065644
PA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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