Individual
BRYCE CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 S PARKSIDE DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 447-4740
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 447-4792
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0053429
CO
390200000X
Student in an Organized Health Care Education/Training Program
OT012962
PA
Other
Enumeration date
06/19/2009
Last updated
07/30/2014
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