Individual
DR. WAYNE LEON CALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 W 6TH ST, LEADVILLE, CO 80461-2205
(719) 486-1264
(719) 486-1286
Mailing address
825 W 6TH ST, LEADVILLE, CO 80461-2205
(719) 486-1264
(719) 486-1286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01220813
—
CO
Enumeration date
12/15/2006
Last updated
07/09/2007
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