Individual
CHARLES DAWSON CALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15725 POMERADO RD, SUITE 206, POWAY, CA 92064-2068
(858) 675-0883
(858) 675-0549
Mailing address
15725 POMERADO RD, SUITE 206, POWAY, CA 92064-2068
(858) 675-0883
(858) 675-0549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G33450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G335401
—
CA
01
—
G33540
STATE LIC NUMBER
CA
Enumeration date
11/21/2005
Last updated
06/04/2014
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