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Individual

DOUGLAS G CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 SALEM ROAD, STE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Mailing address
350 SALEM ROAD, STE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C5960
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111165001
AR
Enumeration date
09/02/2006
Last updated
11/14/2011
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