Individual
STEPHEN PAUL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-5172
Mailing address
4076 NEELY ROAD, FT WAINWRIGHT, AK 99703
(907) 361-5172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.003624
CT
363AS0400X
Surgical Physician Assistant
23.003624
CT
Other
Enumeration date
05/27/2016
Last updated
03/19/2025
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